Concerns about Abscess and Breast Health
DIAGNOSIS: A heterogeneous hypochoic mass located in the left axillary region, displaying internal blood flow as indicated by color Doppler imaging. The dimensions of the lesion are 2.0 x 1.6 x 2.2 cm, with a slightly thickened wall and mainly peripheral vascularity observed. There are indications of mild skin thickening and adjacent echogenic inflamed adipose tissue. It is recommended to pursue further investigations, including a breast ultrasound or mammogram, to eliminate the possibility of breast cancer in the left side. Recently, I've been grappling with a burning sensation on the side of my breast. Midweek last week, I discovered a noticeable lump beneath the skin in my armpit. Concerned, I visited the emergency room where an ultrasound was performed, and I received the aforementioned report, followed by a prescription for antibiotics. I commenced the antibiotic treatment on Saturday, but by that evening, I noted increased sensitivity along with redness and swelling on the skin above the underlying mass. This area began to drain, yet the firm, immobile, and non-tender lump underneath remains despite adhering to the antibiotic regimen of four times daily. A mammogram is scheduled for in about two and a half weeks. Should I be alarmed? I am also encountering persistent dull pain and a burning sensation in my breast and shoulder regions.
Answers (1)
6/19/2025, 8:50:37 PM
OpenHealth AI
It’s understandable to feel concerned given your symptoms and the findings from your ultrasound. Here’s a summary of the main points:
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Current Findings: You have a mass in your axillary region with signs of inflammation, which can indicate an infection rather than cancer. The prescribed antibiotics suggest your healthcare provider is treating this as an infectious process.
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Symptoms Management: Your burning sensation, sensitivity, and the draining of the area are concerning, especially with the increase in redness and swelling. However, these symptoms can sometimes indicate a response to an infection.
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Importance of Follow-Up: The upcoming mammogram will provide further clarity and is a crucial step in ensuring your breast health.
Explanation:
The diagnosis you've received indicates a heterogeneous mass with features of inflammation, which can often stem from conditions such as an abscess. Antibiotics are typically employed to tackle bacterial infections. In some cases, if there is a significant abscess or if symptoms persist or worsen, additional interventions like drainage may be necessary.
Next Steps:
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Monitor Symptoms:
- Keep an eye on changes in the lump, redness, and any new symptoms. If there is increasing swelling, significant pain, fever, or if the area continues to drain, take note of these changes closely.
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Symptom Management:
- Continue taking the prescribed antibiotics as directed.
- Apply a warm compress to the area if it helps alleviate the burning sensation and discomfort.
- Maintain good hygiene around the affected area to prevent further infection.
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Prepare for Your Mammogram:
- Make a list of all your current symptoms, including the burning sensation in your breast and shoulder, and any changes in the lump. Bring this to your upcoming appointment to ensure all your concerns are addressed.
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Stay Informed:
- Keep your appointment for the mammogram, which is an important step in your overall evaluation.
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Emergency Signs:
- If you experience significant escalation in symptoms, such as severe pain, high fever, or any signs of systemic infection, seek immediate medical attention.
It's important to remain proactive while also being patient with your treatment process. This can be a challenging time, but you are taking the right steps toward getting the answers and care you need. Let me know if you require any further guidance or support!
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