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Anxious about a small indent/puckering on breast

17 REPLIES 17
Member

Re: Anxious about a small indent/puckering on breast

Hi Pam, my sister was diagnosed on her routine mammogram. She was told that she would need a mastectomy, because that was the best option for her. A couple of days after the mastectomy she was told about the tumour they found  behind the chest wall, which was a bit of shock for all of us. She has made a full recovery, had a reconstruction and is really in good health. So important for us  to go for our routine mammograms, because it saved her life x

Member

Re: Anxious about a small indent/puckering on breast

On your sister ?
Member

Re: Anxious about a small indent/puckering on breast

Irena. .how did they find the larger tumour ?
Member

Re: Anxious about a small indent/puckering on breast

PA, I'm really so pleased for you that you've got an appointment for Wednesday, at least the ball is rolling and hopefully you will find out on the day and it will be good news for you.  You're going through a lot especially with your Mum. A weekend away will help take your mind off of it, enjoy every moment and if it comes into your head, don't dwell on it.

 

I will be following mine up on Monday, as I said I've already I left a message for my GP with the receptionist to refer me to the breast clinic. It will be interesting to see if he will do it, I'm hoping he will. I think the mental reassurance of a breast specialist examination and maybe mammogram/ultrasound to prove there is nothing there is enough reason to be referred. The woman doctor who first  examined me,  who was quite young, was very thorough when she examined my breasts, in fact she prodded me so hard I felt a bit sore afterwards. She couldn't feel any lumps, and told me she wasn't going to refer me. Although it was a relief to hear, it still leaves that doubt in your mind that they can't see inside your breasts, and we all know about these kind of stories. My own sister was diagnosed with Stage 3 cancer about 6 years ago, was  told it was a small tumour, only to find later that she had a tumour the size of a golf ball behind her chest wall, and this didn't show up on the mammogram!  Scary stuff and has stayed in my head. Luckily she's made a full recovery, after having intense treatment, so important to catch it in time. 

 

If he refuses to refer me, I will ask for an open referral and go private, I shouldn't have to do that but I will if I have to.  Will keep you posted. Enjoy your weekend xx

 

 

 

 

 

 

 

 

 

 

Member

Re: Anxious about a small indent/puckering on breast

I was really lucky because I spoke to the receptionist at the breast clinic who spoke to the radiographer for me. The radiographer then came to the phone to speak to me and she then went and had a discussion with a breast consultant and she called me back. She was amazing! They got the referall through that day and called me to book in. I am seeing them next Wednesday morning. So fast! I will be taking a bunch of flowers and chocolates to say thank you for all their help.

With regard to yourself. If your doctor refused to refer to for a two week wait, you can ask for an open referall which means you can then go to a private hospital. An ultrasound costs about £300. Don't know how much a mammogram costs. It's then £170 to speak with a consultant. However, you really should not have to do this. Try and press a bit harder. If not, get another opinion.

GP did examin my boobs and said she could not feel anything but her idea of an examination was really pathetic. A feather would have left more of an indent!! She really was not interested!!

I hope you manage to get things sorted.

I'm an athlete (para) and I'm away training this weekend so it really is taking my mind off things thankfully as we have such a busy few days ahead.

I've had two mammograms in the last ten years and never really been worried like I am now but I think that's more because of what's happening to my mum I guess but also, a change in boob shape is really not normal. Especially to the extent mine is right now.

Anyway, please update us after the weekend and let us know what's happening. X
Member

Re: Anxious about a small indent/puckering on breast

Hi Saffron, thanks for responding. I was all over the place yesterday, you start thinking you're making a fuss about nothing, but deep down all you want is reassurance, and everyone is entitled to that. The reason for the non referral is because doctors couldn't feel any lumps, which is good, but as I know now cancer is not just about lumps, and sometimes like my sister's experience her cancer was behind her chest wall. 

 

I did ring up my local private clinic and you're right you do have to have a referral from your GP. I rang the breast clinic at our local hospital and spoke to the secretary, and told her about not been allowed a referral because there wasn't enough reason, which she thought was strange. She advised me to go back to my GP and ask again for a referral telling them that I  was anxious and wanted more tests to rule out  anything suspicious. So I've rang my surgery this morning and asked the receptionist to leave a message for my GP ( as I wasn't going to be able to see him today!) that I wanted a referral to the breast clinic for further tests. I do believe that worrying that it might be a cancer  is enough reason to refer me. No good him saying 'I don't think there is anything to worry about' and leaving me doubting, because it's just going to ruminate in my head. I don't suppose I will hear from him today being Friday when they're super busy, but I will follow it up on Monday, I'm not going to give up! xx

 

Highlighted
Member

Re: Anxious about a small indent/puckering on breast

Hi sorry you got no joy from your gp.  

 

Signs and symptoms of breast cancer can include:
a change in size or shape of the breast
a lump or thickening that feels different from the rest of the breast tissue
redness or a rash on the skin and/or around the nipple
a change in skin texture such as puckering or dimpling (like orange peel)
discharge (liquid) that comes from the nipple without squeezing
your nipple becoming inverted (pulled in) or changing its position or shape
a swelling in your armpit or around your collarbone
constant pain in your breast or your armpit.

 

These are well known and publicised by Breast Cancer Care and other organisations like Breast Cancer now and MacMillan.  It does mention dimpling and surely that is a 'reason' for a referral if your gp needs one?   I really can't understand why he won't refer.   Why not ring the helpline here and ask them for advice on how to proceed.  You shouldnt need to go private at all but again to go private I think you have to have a referral from your gp so you would have to go back to him in any case. 

 

Like I said its probably nothing but they owe it to you to refer and let you get it checked out.

 

 

Member

Re: Anxious about a small indent/puckering on breast

Hi ladies

 

I'm sorry to hear about your mother ParaArcher, must be very hard emotionally, hugs. Regarding your treatment at the surgery, I think it was appalling. It seems to me, it's more about funding/costs, and not  putting the patient's concern for their health first. I'm very pleased you got a referral, and hopefully an appointment soon. I'm amazed you were actually able to speak to a radiographer, because at our local hospital it would be hard to do this. Did your GP examine your breasts, as I see from your other post that you felt two lumps yourself. I would have thought that this alone would have warranted a further investigation without any doubt.

 

I saw my own GP yesterday pm. I managed to get an appointment in the afternoon. He could see on the computer that I'd been to the surgery a couple of days before about the dimpling in my left breast, and the GP not being concerned enough to  refer me to the breast clinic. I asked him to check me again, and he said that there were no lumps in my breast and because I had this dimpling before my last mammogram (which was clear) in early June, there was no need  to refer me. If there is  a symptom of dimpling/puckering it's because it's attached to a lump that's pulling it in causing the dimple, that was the first GP's explanation for not referring me and she felt no lumps. Back to my visit yesterday my own  GP said he wasn't going to refer me, agreeing with the other doctor that I had nothing to worry about, although saying if I notice any further changes to go back and see him.  Apparently they have to have a reason to refer someone. On hindsight I do wish that I never mentioned that I noticed this dimpling before I has my mammogram. After reading a couple of cases in the paper re dimpling since and they not  not having other symptoms, it has me concerned that they may have missed something. 

 

I'm thinking now of going private, for  peace of mind. I'm not sure if I need a referral. I don't want to go back to the doctor's again because I can't see the point, and I'm thinking they probably think I'm an over anxious neurotic woman. I will enquire at our local private clinic today.

 

Did have a word with one of the nurses and she was very helpful and reassuring, but It's still my decision in what I should do next.

 

Thanks Saffron for explaining about  your diagnosis. It's these kind of stories that makes one very concerned.

Will keep you posted xx

Member

Re: Anxious about a small indent/puckering on breast

Hi ladies

 

I'm sorry to hear about your mother ParaArcher, must be very hard emotionally, hugs. Regarding your treatment at the surgery, I think it was appalling. It seems to me, it's more about funding/costs, and not  putting the patient's concern for their health first. I'm very pleased you got a referral, and hopefully an appointment soon. I'm amazed you were actually able to speak to a radiographer, because at our local hospital it would be hard to do this. Did your GP examine your breasts, as I see from your other post that you felt two lumps yourself. I would have thought that this alone would have warranted a further investigation without any doubt.

 

I saw my own GP yesterday pm. I managed to get an appointment in the afternoon. He could see on the computer that I'd been to the surgery a couple of days before about the dimpling in my left breast, and the GP not being concerned enough to  refer me to the breast clinic. I asked him to check me again, and he said that there were no lumps in my breast and because I had this dimpling before my last mammogram (which was clear) in early June, there was no need  to refer me. If there is  a symptom of dimpling/puckering it's because it's attached to a lump that's pulling it in causing the dimple, that was the first GP's explanation for not referring me and she felt no lumps. Back to my visit yesterday my own  GP said he wasn't going to refer me, agreeing with the other doctor that I had nothing to worry about, although saying if I notice any further changes to go back and see him.  Apparently they have to have a reason to refer someone. On hindsight I do wish that I never mentioned that I noticed this dimpling before I has my mammogram. After reading a couple of cases in the paper re dimpling since and they not  not having other symptoms, it has me concerned that they may have missed something. 

 

I'm thinking now of going private, for  peace of mind. I'm not sure if I need a referral. I don't want to go back to the doctor's again because I can't see the point, and I'm thinking they probably think I'm an over anxious neurotic woman. I will enquire at our local private clinic today.

 

Did have a word with one of the nurses and she was very helpful and reassuring, but It's still my decision in what I should do next.

 

Thanks Saffron for explaining about  your diagnosis. It's these kind of stories that makes one very concerned.

Will keep you posted xx

Member

Re: Anxious about a small indent/puckering on breast

Hi there.

It's funny because I went to my doctors today for a 'dent' in my left boob on the underside below the nipple.

My mother was diagnosed with BC last year and has mets to her lungs upon first diagnosis, so life is tough.

I saw a very junior doctor at my surgery and I consumed my history and my mothers and that I'd had a mammogram and US in December last year for lumps and got the all clear. I explained that my breast had changed shape and I had this dent. Junior doctor calls in senior doctor who totally dismisssed me. She would not explain a reason why I had this dent and stated that you don't get cancer from dimpled skin. I confronted her on this and told her she was incorrect as stated in the papers!! She refused to refer me for urgent checks. I told her I was not happy and wanted the referall and she refused again, stating that I did not meet the criteria!! I was absolutely appalled by her attitude and behaviour!! I stated that I wanted an open referral as I would pay privately and she tried to refuse but I stood my ground! I honestly could have ripped her head off!!

Anyway, I got home and I was spitting nails!! Found out an US privately would cost me £280 and I could be seen tomorrow.

I then decided to contact the breast clinic and spoke to a radiographer who was just amazing and could not believe how I had been treated! She spoke to a breast doctor who stated that I should be an urgent referral. The radiographer contacted my surgery and spoke to the most senior doctor and he agreed that I should have been referred and I have now been done so.

The surgery doctor then called me to apologise for the other doctors behaviour and attitude towards me and that he would be formalising a complaint for me. I made it quite clear that the junior doctor had done nothing wrong but the attitude of the senior doctor was short of disgusting and that is the reason we have such untrust with medical practitioners and that this junior doctor was learning from the wrong person!!

Save to say, I've been referred and will have my appointment through soon!!

My point, although a long one, is to go back and asked to be referred for checking. It's your body and your life. We are so typically British and tend not to stand up for ourselves and that sometimes can come with dire consequences!!

Good luck and I will follow to see how you get on.

Amanda. Xx
Member

Re: Anxious about a small indent/puckering on breast

hi irina   to be honest I had my symptons before the mammogram but I just ignored them as I thought it was just my 'breast changing'.  I noticed about a year before that when I went swimming my right breast was lower in the water than my left one (ie heavier) but just brushed it aside.  I was working really long hours and staying away from home and its easier sometimes to ignore thinking you don't want to be a nuisience.  I then had the clear mammogram which was in the November and that made me think well its all ok then!   What made me go to the gp was that I knocked my breast on the garage door and it was really bruised and when I was having a real good look at the bruising I noticed that I also had dimpling and my nipple was a bit inverted.  I had never really noticed it before though and thought that maybe the 'knock' I had, had caused it.   But even so something deep down inside me thought I need to bet it checked out.   When I went to my GP I thought he would say all is fine and it is the knock that has caused it - but luckily for me he didnt and he referred me on to have it properly looked at - he said he was no expert and wouldnt like to say one way or the other but for peace of mind I should go.  I really thought I was wasting everyones time and was so shocked when I was told that I had breast cancer.  I have dense breasts so the tumour which was 9cm when they took it out, didn't show up on the mammogram.   I have since found out that whilst a mammogram is a really good tool it only picks up about 90% of cancers anyway so the best way is to examine your breasts and any change whatsoever needs to be investigated.  I dont want to alarm you at all and it maybe that it isn't anything but if you have had these symptons for a while I would press for a referral and then at least it will put your mind at rest.  As I said over 90% of referrals to breast clincs show up as non cancerous and it may well be your gp is aware of this and doesn't want to burden the clinic with another referral, but there is no way she can tell you that its nothing to worry about without a full examination and ultra sound by a specialist breast team.   good luck with it and let us know how you get on xxx

Member

Re: Anxious about a small indent/puckering on breast

Hi Marirose and Saffron

 

Thank you for taking the time in telling me about both of your experiences with diagnosis and your advice to push for further tests at the breast clinic. I will make another appointment with a different GP, as I don't think there is much point in  going to the one I saw yesterday. My own GP is a male. The GP I saw yesterday was a new lady doctor whom I hadn't met before but preferable for me for  female stuff. It will probably take 3 weeks to get an appointment with a female GP that I have faith in, you know what the appointment system is like at the moment! 

 

Saffron did  you have your symptoms before your mammogram, or afterwards. I've had this dimpling type skin  for over a year, that's why I would have thought that the mammogram I had in late May would have picked up anything suspicious. In fact I've got a small bit on my right breast, but it's not as noticeable. However, on yours and Marirose's  advice I will make another appointment and ask to be referred to the breast clinic.  I'm not going to take the risk and hope for the best attitude and regret it later.

 

Marirose your misdiagnosis is appalling and really you can't blame yourself when the medical people that you put your trust in let you down. I really appreciate both of you ladies for reminding me that mistakes can be made and we have to be proactive for a safer result.

 

Wishing you both the best. Will let you know how things go. Sending hugsx

Community Champion

Re: Anxious about a small indent/puckering on breast

Dear irina

I usually post in the secondary threads but i noticed your post I do not want to alarm you but I thought I would give you my history it may help you decide hat to do.

 

1996 I had my primary cancer it started in the left breast my nipple went inverted. The surgeon said because of were it was I would need a mastectomy he did a really good job he cut around the nipple and took the lump out which was 2cm but it was a malignant tumour and so he wanted to do my axillary glands (lymph nodes) He took 11 out one was malignant on  registras advice I turned down the chance of a mastectomy. After chemo and ras I had a small mark appearing under my breast the surgeon arranged a bone scan which came back clear. But over the years and many mammograms that were clear it grew bigger and started to look like a bullet hole they thought it was my scar I told them it wasn't but they didn't want to know. My fault I should have gone to my GP long before I did she was very good and asked for a ultra scan to be done. I am glad she did because I had a chestwall tumour which could not be operated on I had allowed it to grow through ignorance and not pushing for something to be done.

 

Saffronseed is so right with what she says please push for a ultra scan to give yourself pease of mind tell your GP how you feel it's your life. 

 

Wishing you all best wishes love and (((hugs)))

Member

Re: Anxious about a small indent/puckering on breast

so glad you went to see your gp.   You are so right that its not always a 'lump' and any changes to your breast should be investigated.   I don't want to alarm you or anything but for your gp to say 'she doesn't think its anything to worry about' isn't really good enough.   She may be quite right and it is nothing to worry about but I think it should be checked out by the breast clinic who are specialists.  They will do an ultra scan of the breast and if they think its needed they may also do a biopsy and it is they who will tell you definately whether its something to worry about or not.    I therefore think she should have referred you.    Stats show that over 90% of referrals to the breast clinic show benign tumours or cysts or other changes in the breast that are not cancer - but its much safer to get a referral and find out that there's not a problem rather than just leave it.   I must admit I would go back to the gp and insist on a referral.  Why not ring the helpline at bcc and find out what their advice is.  I had a clear mammogram and noticed changes to my breast - I thought it was 'nothing' and went to my GP thinking I was wasting his time - but he referred me and two months after my clear mammogram result I was diagnosed with breast cancer.  That was 6 years ago now and whilst the diagnosis was devestating I still think now what if I had not been referred by the GP - I would have waited another 3 years for a mammogram and then things would have been far worse.  

Member

Re: Anxious about a small indent/puckering on breast

Hi Ann

 

Just wanted to tell you I saw my GP yesterday, and she examined me very thoroughly, and told me she doesn't think there is anything for me to worry about, couldn't feel any lumps in that area. Although I had a clear mammogram a few months ago, I'm glad I went to my GP.  I had this slight indent, like cellulite for about a year,  and actually thought that's what it was. The skin changes as we get older, but I have also been educated in that breast cancer is not just about lumps and can show itself in this away, so still best to get it checked. However, also good to know that it's not always cancer either, so thought I'd share for others who may be worried.

 

Wishing the best to everyone here xx

 

 

Member

Re: Anxious about a small indent/puckering on breast

Hi Ann

 

Thank you for taking the time to reply, I really appreciate it. You have reassured me to look at the bigger picture, also that the mammogram are  checked by two clinicians.   It was reading the story in the Dauly Mail that triggered me off to start googling, and as we all know it can make you feel alarmed.    I actually thought it was cellulite, because of my age. I will let you know what my GP says. Irina x

Community Champion

Re: Anxious about a small indent/puckering on breast

hi irina,
As you've already had a clear mammo, it's checked by 2 clinicians, then all should be well. There are many symptoms that relate to both bc & normal breast changes & most turn put not to be serious. See what your gp thinks & step away from google!
ann x
Member

Anxious about a small indent/puckering on breast

I'm new here and hope that someone can give me some reassurance. I have a slight indent/puckering  on the lower part of my left breast. I noticed it several months ago, it could even  be more than year, didn't give it much thought, thinking it was just old age, gravity, I'm 68.  My left breast is slightly larger than the right breast, thinking more fat could be the reason. You only notice it when my arms are over my head and I have to move a certain way to notice it. I had my 3 year mammogram in late May this year and it came back clear, so was quite happy, thinking if there was anything wrong it would have been picked up because I had this indent then. It hasn't changed and it still looks the same.  However, I read a link in the Daily Mail a couple of days ago about a lady that had an indent in her breast, much younger than myself, and it tuned out to be cancerous and it kind of scared me in thinking that something could have been missed when I had my mammogram. My mind has gone into overdrive now and I'm starting   to feel stressed with the worry  of it all. I also suffer from anxiety, but am trying to stay calm. I wonder if anyone here has had a similar problem, or may no more about this sort of symptom. I  must stop googling  because it's making me panicky. I had already made an appointment with my doctor for next Tuesday 2 November for something else, which is just as well, because they had no appointments until 3 weeks time, which is ridiculous if you're reallyworried. Thank you for reading and hoping someone can give me some advice