Could I be Experiencing Breast Cancer?
I’m an 18-year-old transman (FTM), weighing approximately 185 pounds and standing at 5'9". I am of Caucasian descent, undergoing testosterone therapy, and I haven’t had top surgery (mastectomy) yet. Since I'm adopted, I lack a clear family history of cancer, though I was informed that my potential biological father passed away from some form of cancer around his sixties or seventies, though I'm uncertain of the details. Recently, I sustained a cut on my left nipple after using KT tape as a binding method for my chest. When I removed the tape a few weeks prior, it pulled at my skin slightly. Initially, I didn’t address the injury, even engaging in sexual activities where my nipples were stimulated. My nipple started to hurt and looked a bit unsightly, prompting me to apply Neosporin after about four days. Fortunately, this treatment helped it heal without further issues. Around the same timeframe, I began feeling discomfort in the armpit area on the same side. While I haven’t noticed any visible abnormalities in my breast or skin, when I palpated beneath my armpit and along my ribs, I discovered a small lump under the skin. It's not particularly painful, but I feel some discomfort when I touch it. The lump feels firm and doesn't shift much; it’s more of an uncomfortable sensation rather than something excruciatingly painful. Apart from this, I have experienced slight discomfort in my left side, which also includes my arm. This discomfort may stem from the fact that I sleep on that side and use a prop for support. I noticed that taking Tylenol alleviated the discomfort, and I haven’t observed any other unusual lumps in my breasts. Since I have been binding my chest for about seven years and started testosterone therapy approximately 10 or 11 months ago, I am unsure whether this lump might be a sign of cancer or just an inflamed lymph node or a potential infection. I have scheduled a breast screening appointment with Planned Parenthood for April 19th. What are your thoughts on my situation? Should I wait until my appointment, or is it necessary to go to the emergency room? Also, something that might be unrelated: I’ve been experiencing a mild pins-and-needles sensation daily, which can sometimes be painful. These occurrences have decreased lately to around once or twice a day. This issue began after I stopped taking my vitamins and switched to new pillows, so I suspect it might just be related to my sleeping position or a lack of stretching. I think it could also be influenced by anxiety since the pins-and-needles seem to intensify when I’m feeling stressed. I wanted to mention this even though I’m not sure if it’s relevant to my primary concern.
Answers (1)
4/2/2025, 6:01:02 AM
OpenHealth AI
Your situation raises valid concerns, especially regarding the lump you've discovered. While breast cancer is not exceedingly common in younger individuals, it is essential to take any lump seriously. Given your recent injury and the context of your hormone therapy and binding practices, let's break this down and focus on next steps.
Main Points
- The lump under your armpit could be an inflamed lymph node or related to your previous injury rather than breast cancer.
- Your symptoms do not necessarily indicate an emergency, but monitoring is crucial.
- You have an upcoming screening, which is an important step.
Explanation
The lump you're feeling could be due to various reasons, including:
- Inflammation: It can occur after an injury or irritation, such as from binding.
- Lymphadenopathy: Swollen lymph nodes could be a response to local irritation or infection.
- Other: Rarely, conditions like breast cancer can present as lumps, but your age and recent history make it less likely.
Your discomfort could also be attributed to repetitive strain from sleeping positions, especially since you mentioned using a prop for support. Mild pins-and-needles sensations can stem from nerve compression or anxiety-related muscle tension.
Next Steps
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Monitor the Lump: Keep track of any changes in size, pain level, or appearance until your appointment. If it worsens significantly or you develop new concerning symptoms (like fever, increased pain, or discharge), consider seeking care sooner.
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Maintain Your Appointment: Your planned screening on April 19th is crucial for a professional evaluation. Prepare to share all symptoms and your history with the provider.
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Care for Your Nipple Area: Continue to keep the area clean and monitor any signs of infection or worsening symptoms. If you experience increased redness, swelling, or discharge, contact a healthcare professional.
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Address Pins-and-Needles Sensation:
- Assess your sleeping arrangements: Ensure that your pillow and sleeping position do not compress nerves.
- Stretch regularly: Gentle stretches could help ease muscle tension and improve circulation.
- Consider resuming vitamins if your diet is lacking nutritional support.
Comfort and Reassurance
It's understandable to feel anxious about these symptoms, especially with family cancer history, but remember that not all lumps signify serious conditions. You're taking a proactive step by scheduling the screening, which is a vital move towards understanding your health. If you have any further symptoms or need support, don’t hesitate to reach out.
Take care, and feel free to ask if you have more questions!
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