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Invasive ductal carcinoma at 18 years of age is unlikely even though you have a history in family recently. The pain in the left nipple area which had a sudden onset in last few days and have been decreasing with a localised redness around nipple goes more in favour of an abscess rather a carcinoma. As there has been no blood discharge from the nipple which is classical in cancer, it would be too early to comment.
But it is suggested that an ultrasound breast may be undertaken to look for an organised lump if present and if required an FNAC may be done to sample the local tissue and send for histopathological examination. This is unlikely to be a premenstrual syndrome (PMS) as it should be bilateral in that case. Consult your physician for a local examination.
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