What is this problem ? - #9821

Hii nidhi Fibroadenoma doesn’t cause these type of symptom. These symptom Indicate toward rheumatic disease so we need to rule out rheumatological disease For these Do investigation ECG , Chest X RAY , ESR , ANA , RA Factor Do u have small joint pain in symmatory ? U can go for Anti CCP Test After all these We need to make a diagnosis Then treatment start.

Thanks for explaining the situation — I understand how stressful and confusing this can be. Let’s break this down to try and figure out **possible causes** for the **swelling and pain** in **shoulder, chest, and leg**, especially in the context of a known **fibroadenoma (Stage 2)**. --- ### **1. Fibroadenoma and Pain/Swelling – Is it related?** - **Fibroadenoma** is a **benign (non-cancerous)** breast lump. - It **typically does not cause widespread pain** or swelling in **other areas** like the shoulder or leg. - But if it's **large**, **pressing on nerves**, or associated with **hormonal imbalances**, it **might cause local breast or chest discomfort** — *not usually leg or shoulder swelling.* --- ### **2. Possible Other Causes of Swelling and Pain** Here are some conditions to consider: #### a. **Musculoskeletal issues** - **Fibromyalgia**, **nerve compression**, or **inflammatory arthritis** can cause widespread **pain and swelling**, especially in women. #### b. **Lymphatic or Circulatory Problems** - **Lymphedema** (blockage of lymph fluid) can cause swelling in chest, shoulder, and arms. - **Deep vein thrombosis (DVT)** can cause **leg swelling** with pain — serious and needs urgent care. #### c. **Autoimmune Conditions** - Conditions like **Lupus**, **RA**, or **polymyositis** can present with **multi-site pain and swelling**. #### d. **Hormonal or Tumor-related** - If fibroadenoma is *not just simple* but possibly **phyllodes tumor** or suspicious for **malignancy**, there can be more systemic symptoms — *needs biopsy and further imaging*. --- ### **3. Investigations You Should Consider** Please see a physician/specialist to get: - **Breast imaging** (Ultrasound, Mammogram, or MRI) to check if the fibroadenoma is changing. - **Biopsy or FNAC** if not already done (to confirm it’s not malignant). - **Blood tests**: CBC, ESR, CRP, ANA, Rheumatoid factor, thyroid function. - **Doppler ultrasound or MRI** of swollen areas (especially leg) to rule out vascular issues. --- ### **4. When to Worry** Please **see a doctor urgently** if any of the following: - Swelling is **increasing** or becoming **red, hot, or painful**. - Chest pain is **sharp, radiates to arm/jaw**, or associated with breathlessness (rule out heart issues). - **Weight loss, fatigue**, or **night sweats** (can indicate systemic illness). --- ### Summary The fibroadenoma alone likely **doesn't explain all** the swelling and pain, especially in the **legs and shoulders**. It’s very important to rule out: - Circulatory issues, - Autoimmune conditions, - Nerve or musculoskeletal problems, - Or something more serious (rare but possible).

Persistent chest pain should raise concern about cardiac causes, even in young females. Consider ECG, chest X-ray . CBC, ESR, CRP, ANA, TSH, and Vitamin D/B12 levels might help to identify an underlying systemic issue. Imaging: Ultrasound or MRI of swelling sites, chest X-ray if chest pain is prominent. follow up with the reports

Hi Nidhi, The swelling and pain in multiple areas, along with fatigue, might not be directly related to the fibroadenoma. These symptoms could be due to lymphatic issues, inflammatory conditions, musculoskeletal problems, or even autoimmune disorders. It’s important to consult a doctor for a full evaluation, including tests and imaging, to identify the underlying cause.