Stacey, thank you for a very detailed history. According to you the doctor
diagnosed your breast problem as ‘granular breasts’. Maybe the doctor meant to
tell you that you have ‘dense breast tissue’ which is something totally
different. I am also not sure whether he meant that you have a granular cell
lump in your breast.
Breast tissue is composed of milk glands, milk
ducts and supportive tissue (dense breast tissue), and fatty tissue (non-dense breast tissue).
When viewed on a mammogram, women with dense breasts have more dense tissue
than fatty tissue.
Granular cell tumours (lumps) are thought to
start in early forms of nerve cells. They are very rarely found in the
breast. A granular cell tumour of the breast can most often be felt
as a firm lump that you can move, but some may be attached to the skin or
chest wall. They are most often are in the upper, inner part of the breast.
A mammogram and/or breast ultrasound may be done to learn more about the
shape, size, and location of the tumour. Granular cell tumours are
sometimes thought to be cancer because they can form lumps that are fixed
in place, and they can also sometimes look like cancer on a mammogram. A biopsy (removing
a sample of tissue to be looked at under the microscope) is usually needed
to be sure this breast change is not cancer. Granular
cell tumours are usually removed along with a small margin (rim) of normal
breast tissue around them.
It is suggested that you return to your treating
physician and request him to explain to you exactly what his diagnosis of your
breast problem is. You should also request a mammogram.
As far as the dry, itching skin is concerned,
you should request your doctor for the result of the skin scrapings that he
took. From all what you have told me (although you are still young) the problem
should be investigated thoroughly as there is always a possibility that it
might be Paget’s Disease.
Paget's disease of the breast affects the nipple
and usually the skin (areola) surrounding it. It is easy to mistake the signs
and symptoms of Paget's disease of the breast for skin irritation (dermatitis)
or another noncancerous (benign) skin condition. Possible signs and symptoms of
Paget's disease of the breast include:
Flaky or scaly skin on the nipple
A tingling or burning sensation
A lump in the breast
Eventually redness with oozing or hardened skin
resembling eczema on the nipple, areola or both.
Later on a flattened or turned-in (inverted) nipple
Thickening of the skin on the breast
Signs and symptoms usually occur in one breast
only. The disease typically starts in the nipple and may spread to the areola
and other areas of the breast.
The skin changes may come and go early on, or respond
to topical treatment, making it appear as if the skin is healing. On average,
women experience signs and symptoms for several months before getting a
It is a good sign that you are aware of changes in
your breasts. If one feels a lump in one’s breast, or if one experiences
itching or skin irritation that persists for more than a month, one should
request one’s doctor for a thorough examination. (MCH).
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.