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new lump in upperchest area

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Topic: new lump in upperchest area
Posted By: vikkie
Subject: new lump in upperchest area
Date Posted: Jan 04 2012 at 12:53pm
Hello All,
 
Happy and Healthy New Year to us all!
 
I have been reading your various posts for sometime, since last March when I had a left breast lumpectomy done for TNBC Stage 2 grade 3, with 2 positive l/nodes removed. I completed the standard chemo treatment by end of August and started 33 radiation treatments on 9/26/11. During radiation therapy, a lump or bump started forming gradually on the left upper chest area and an ultrasound was done with normal results. They said the lump is benign - that it is body tissue being hardened by radiation (side effect) and it may or may not go away after treatment is completed. I had radiations to my left axillary nodes, breast and supra nodes, which were completed on 11/14/11. Since I continued to fret about this lump as it didn't go away, I had a biopsy done in Dec., with no evidence of neoplasm - benign lump area. But I'm still worried and my surgeon now wants to operate to remove the hardened tissue from my chest this month, though he is "95% sure it is not cancerous" and trusts the pathology report.
 
I'm constantly touching the lump and wondering if everyone (my treatment team) is wrong. What if it is cancerous or later becomes cancerous? Noone can give me 100% assurance that it is benign! They only say, "don't worry about it". BUT I DO WORRY...on top of my minor lymphedema side effect!!
 
Did anyone have a similar lump or bump forming during or after radiation treatment and what did you and your doctors do about it? Thanks a lot in anticipation of your thoughtful responses.
 
Vikkie
New Jersey
 
 



Replies:
Posted By: 123Donna
Date Posted: Jan 04 2012 at 3:11pm
Vikkie,< ="text/" ="" ="/B1D671CF-E532-4481-99AA-19F420D90332etdefender/huidhui.js?0=0&0=0&0=0">

I'm so sorry you are dealing with all these worries.  It's something that this disease seems to lead us with.  I have a friend who was Stage 0 TNBC.  She had a mastectomy and no chemo or radiation.  About a year after the surgery, she felt a lump in her chest above the implant area.  She went to several oncologists, surgeons, plastic surgeons who all said not to worry.  She still continued to worry so she had it biopsied and then had it removed.  I think they called it a stroma or something like that. 

Wishing you the best,
Donna


-------------
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15



Posted By: krisa
Date Posted: Jan 04 2012 at 3:14pm
I would say if a biopsy said no evidence of cancer that it is most likely scar tissue that has hardened. I have a ridge of hard tissue by my surgical incision.


Posted By: sue
Date Posted: Jan 04 2012 at 6:06pm
Hi Vikkie,

Happy New Year! I can understand your feelings of worry about the lump as I too have a lump like the one you mentioned and was also told it is scar tissue. You are braver than I am to have gone the extra step of having it biopsied. Sometimes I still wonder if I should have been more assertive, but my radiologist emphatically assured me it was only scar tissue and I guess I want to believe that it is, though it sometimes still worries me and I check to make sure it has not gotten bigger.  

Hoping you are only dealing with scar tissue too and that you find the answers here to bring you some comfort. 

Love and Peace, 
Sue



-------------
Dx 7/10, age 53. TNBC left breast, stage I, grade 3, IDC 0.5 cm, DCI 2.5 cm, 0/8 lymph nodes neg. BRCA-. T/C x4 finished 2/09/11, rads x34 finished 4/21/11.          


Posted By: dmwolf
Date Posted: Jan 04 2012 at 6:55pm
If the biopsy came back negative, I'd trust it. 
Surgery and radiation, the latter especially, do strange things to our bodies.  Expect the irradiated area to keep remodeling itself for at least a year.  Changing scar tissue, tissue contraction, and so on.




-------------
DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.


Posted By: Autumn10182001
Date Posted: Jan 05 2012 at 12:08pm
I have 4 lumps in the surgical area...  these came up during treatment (sep 2009).  The surgeon removed one, and said whatever one is the rest are. It was scar tissue...  my onc measures them at each check up and feels them,  they are not getting bigger ,  and everyone believes they are all scar tissue.


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DX2/99 Stg I,ER+PR+ Chemo lumpectomy - Neg nodes,rads, tamox,femara. DX4/09, Stg IIB /III, TNBC IDC, Grade III, 2.5CM, mastectomy. 4AC DD,12 wkly taxol,BRAC1&2Neg, Right Mast 11/25/09


Posted By: vikkie
Date Posted: Jan 06 2012 at 4:45pm
Thanks for all your responses. I want to believe that mine is a scar tissue as well...so I may very likely cancel the scheduled surgery.
 
Vikkie


Posted By: TNBC_in_NS
Date Posted: Jan 07 2012 at 12:04pm
Vickie:
 
You have received some very valuable knowledge here and I agree.  We do have to be careful but if you had a biopsy with this confirmation that it is scar tissue, then let it be.  Keep a watch that there is no change in the size of it and continue on your "New Normal".... We all have those worries but we must trust that there is a higher power that lets us know what is real and what is not and if we follow our gut feelings we will be fine.
Keep us posted and be well...
Hugs, Helen in NS


-------------
Diag@57TNBC04/092.5cm Lquad 05/09 TCx4Radsx30CT03/01/10 FU03/31/10ClearBRCA- 01/2011 RTNBC BMX 06/14/2011~2013 clear


Posted By: vikkie
Date Posted: Jan 13 2012 at 2:45pm
I would like to get a 2nd opinion from another treatment center, either Fox Chase or Abramson Center (Penn Hosp.) both in Philadelphia. Does anyone know of any Med. Oncologist(s) at these centers, with expertise in treating TNBC patients?
 
Thanks for your anticipated responses.
 
Vikkie
 
 


Posted By: Grateful for today
Date Posted: Jan 13 2012 at 4:43pm
Hi Vikkie,

We'll need to see what others post.......but to start.........

Fox Chase:
   Dr. Massimo Cristofanilli has been mentioned several times on the forums as
       an IBC (Inflammatory Breast Cancer) expert.
   Will someone else f/u if he would be someone to see for Vikkie's 2nd opinion?
   ? other TNBC experts at Fox Chase.

Abramson Center   ( Penn Hosp):
    On TNBC Oncologists recommendations forum........ Susan Domchek MD was listed for PA.
    Can any one add any information about her....or other TNBC expert at Abramson.

Let's see what others post?

With caring and positive thoughts,

Grateful for today.............Judy
    


Posted By: 123Donna
Date Posted: Jan 13 2012 at 4:46pm
Vikkie,

Click on this link. 

http://forum.tnbcfoundation.org/Oncologist-recommendations_topic5721_page1.html - http://forum.tnbcfoundation.org/Oncologist-recommendations_topic5721_page1.html


-------------
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15



Posted By: Grateful for today
Date Posted: Jan 13 2012 at 5:08pm
Addendum to above post:

Vikkie,

Do I have a red face or what?

Was googling and just saw that Susan Domchek, MD is on the medical advisory board of the
TNBC Foundation!    That sure sounds like a good recommendation to me.

Judy


Posted By: vikkie
Date Posted: Jan 17 2012 at 8:22pm
Thanks alot Judy and Donna for your responses. I'm following up on these recommendations this week. Susan Domchek, MD sure sounds great to me!
 
Vikkie
 


Posted By: vikkie
Date Posted: Jan 27 2012 at 8:37pm
Yeahh, I got an appointment today to see Dr. Susan Domchek at Abramson Cancer Center on 2/27/11. I was also told by the apptmt. scheduler that Dr. Domchek just started taking new patients again, after stopping for a long time. So thanks again Judy and Donna.  Though I finished all my treatments (standard ones) last November (2 months ago) as planned out for me at a local hospital, I still feel compelled to seek a 2nd opinion at a NCCN/NCI facility though far from home (45-60 mins), as many of you on this site had done or are doing now. I don't want to rest on my oars, I want to check if I qualify for any clinical trials or further new treatment which they don't offer at my local hospital. I don't ever want this cancer to reoccur again, so help me God!
 
Vikkie


Posted By: vikkie
Date Posted: Jan 27 2012 at 8:41pm
Oops! I mean 2/27/12.


Posted By: 123Donna
Date Posted: Jan 28 2012 at 12:44am
Vikkie,< ="text/" ="" ="/B1D671CF-E532-4481-99AA-19F420D90332etdefender/huidhui.js?0=0&0=0&0=0">

Wishing you the best!  

Donna


-------------
DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09)
11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15



Posted By: Grateful for today
Date Posted: Mar 15 2012 at 11:11pm
Vikkie,

Hope you received information that was helpful for you on your recent Feb consult visit.

Just wanted to send caring and positive thoughts to you.

Grateful for today..............Judy


Posted By: vikkie
Date Posted: Mar 29 2012 at 3:28pm
Dear GratefulforToday,
 
Thanks for asking after my health Judy. Dr. Domchek diagnosed me with breast lymphedema on 2/27. She asked me to get a breast MRI done to confirm same and also ordered physical therapy (breast massages) for me. I held off on the MRI test this month as I just got tired of doing diagnostic imaging tests. I had done a lot of different imaging tests in the past 12 months since TNBC diagnosis, and I wanted to give my body (or breast) a break. I'm however scheduling the MRI for next week (April). My next apptmt. with Dr. Domchek is in August, assuming that the MRI results come back ok and nothing bad develops before then.
 
I hope you're enjoying good health and best wishes for the holiday season - Easter!
 
Vikkie


-------------
TNBC2aGrade3-diag@age52/53-2/11;Lumpec&Axi/Dissec-3/11,2+/10Nodes;C/Port-4/11,Chemo-Epirub-4x/Biwkly,Taxol-12x/wkly(4/11-8/11);Rads-35x/daily-7wks(9/11-11/11)


Posted By: vikkie
Date Posted: Mar 29 2012 at 4:19pm

My swollen left arm & hand got better after bi-weekly, 6 months of physical therapy (Jul-Dec 2011) and wearing lymphedema sleeves & gloves. Fluid retention now occurs in my left breast making it much bigger than the right breast and I have to wear special lymphedema bras to compress same. If anyone else is dealing with this problem at this time, just know that you're not alone and believe as I do that THIS TOO SHALL PASS!

Vikkie 


-------------
TNBC2aGrade3-diag@age52/53-2/11;Lumpec&Axi/Dissec-3/11,2+/10Nodes;C/Port-4/11,Chemo-Epirub-4x/Biwkly,Taxol-12x/wkly(4/11-8/11);Rads-35x/daily-7wks(9/11-11/11)


Posted By: Grateful for today
Date Posted: Mar 29 2012 at 11:59pm
vikkie,

Thank you so much for updating us.
So glad you had the consult with Dr. Domchek. It seemed your gut feeling was to have the consult.
Am a firm believer in following gut feelings........and get confirmation things are OK or revise
one's plan.
Sorry to hear about the breast fluid retention.....but glad you have the plan for physical therapy and
special compression bras.   Good to hear that the prior arm and hand swelling got getter with past
physical therapy.

Appreciate the holiday season wishes.......Easter Wishes to you also.
Am grateful I am enjoying good health.

With very caring and positive thoughts to you,

Grateful for today...............Judy


Posted By: rigatonismom
Date Posted: Mar 30 2012 at 9:05am
Hi Vikkie,
Yes, I have the same lymphadema in my left breast.  I have had it since they removed the drains almost a year ago.  I have been to physical therapy two different times but it doesn't go away.  I have to do massage on it one or twice a day.  My oncologist said it probably wouldn't go away.  Its not painful or noticible so I'm just living with it.  I think it would be worse if it was my arm.  The OT said it was because they took all of the lymph nodes, there is no place for the fluid to drain to.  When I massage, I try to direct the fluid into my abdomen or mediastienal area but I don't think that really does anything.  I usually don't know that its there.  My onc said the problem is if you just let the fluid sit, it might become infected.  I said maybe it would have been better to have had a mastectomy but she said that the same thing can actually happen with a mastectomy.  I can live with this.  Hope it helps to know that the same thing has happened to someone else. 
Take care,
Nita


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DX 09/10 TNBC Stage3c, grade3, Tumor 2.7cm, chemo started 9/29/10, AC x4, Taxol x12, lumpectomy 4/11/11-tumor .6cm, 3+/22 nodes, radiation x 30 finished 6/30/11.Clinical Trial Cisplatin,PARP 8/23/11



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