There is a lump in her breast which was earlier painless but now it is very painful for about ten days. Please suggest the next move or to whom should we consult.
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I agree with Dr.Lipika and she has explained in great detail
Patient will need proper consult with General surgeon and examination , with usg and mammogram
If it's hard and usg suggest malignancy she might need a biopsy also
Next Steps
find a General surgeon and follow his or her advice
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A painful breast lump in a 61-year-old person warrants prompt evaluation and should not be ignored.
What should be done next?
1. Clinical examination by a General Surgeon or Breast Surgeon as soon as possible.
2. Bilateral mammography (both breasts).
3. Breast ultrasound (USG) to assess whether the lump is solid or cystic.
4. Depending on imaging findings, a FNAC (Fine Needle Aspiration Cytology) or preferably a core needle biopsy may be required to establish a diagnosis.
Possible causes
A painful lump can be due to:
* Breast cyst
* Breast abscess/infection
* Fat necrosis
* Benign breast tumors
* Breast cancer (pain does not rule out cancer)
Seek urgent consultation if there is:
* Rapid increase in size
* Skin dimpling or ulceration
* Nipple retraction
* Bloody nipple discharge
* Redness, warmth, or fever
* Enlarged lymph nodes in the armpit
My recommendation
Given the age (61 years) and the presence of a persistent breast lump that has recently become painful, I would advise:
* Do not wait or treat empirically.
* Arrange a breast imaging workup (mammography + ultrasound) within the next few days.
* Follow this with biopsy if imaging is suspicious.
The majority of breast lumps are not cancerous, but at this age every new breast lump should be investigated thoroughly before reassurance can be given.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
General Surgery
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