It is kind of frightening when cancer does not fit into the rule book. Painless lump is the usual presentation in breast cancer. So, when a 31 year old walks into your clinic with an exquisitely tender lump and an ultrasound report proclaiming it to be an abscess in evolution, you are tempted to believe it. However the antenna that you nurture carefully with years of experience tells you otherwise..THIS IS JUST NOT RIGHT.....The tender lump, the tender round lymph node. A repeat ultrasound done by my radiologist colleague and a core biopsy confirm my worst fears.. I am dealing with cancer in this unsuspecting young lady. Breaks my heart but I have a job to do!