Breast Lumps: Should You Worry About Cancer?

There is a lump in the breast?

Since the sixth grade, I have noticed hard lumps in my breasts that are painful when pressed.
Both sides have them, and they are still present now.
I am unsure if this is a sign of breast cancer.

Shao, 10~19 year old female. Ask Date: 2016/04/08

Dr. Li Zhonghuai reply Surgery

Hello! This is normal breast tissue.
If you are still experiencing pain, it is recommended to see a breast surgeon for an ultrasound.
At your age, the likelihood of developing breast cancer is very low, unless there is a family history.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/04/08

More Info

When it comes to breast lumps, especially in younger individuals, it’s essential to approach the situation with both caution and informed understanding. The presence of lumps in the breast can be concerning, but not all lumps are indicative of breast cancer. In your case, since you have been experiencing these lumps since the onset of breast development, it is crucial to consider several factors.

Firstly, breast tissue undergoes various changes throughout a person’s life, influenced by hormonal fluctuations, menstrual cycles, and other physiological factors. Many young women experience fibrocystic breast changes, which can result in lumpy, painful areas in the breast. These changes are often benign and can be exacerbated by hormonal shifts, particularly during the menstrual cycle.
However, it is important to differentiate between benign and potentially malignant lumps. Characteristics of benign lumps often include smooth edges, mobility, and a consistent size over time. In contrast, malignant lumps may feel hard, have irregular edges, and can change in size or shape. Pain is not typically associated with cancerous lumps, but it can occur with benign conditions as well.

Given your description of the lumps being painful when pressed, this could suggest a benign condition, but it does not rule out the possibility of cancer. The best course of action is to consult a healthcare professional who can perform a thorough examination. They may recommend imaging studies, such as a mammogram or ultrasound, to further evaluate the lumps. In some cases, a biopsy may be necessary to determine the nature of the lump definitively.

Regarding your concern about breast cancer, it is important to note that the risk of breast cancer increases with age, family history, and certain genetic factors. Since you mentioned that you have had these lumps since sixth grade, it is less likely that they are cancerous, especially if they have remained stable over time. However, any new changes in the lumps, such as increased size, shape, or associated symptoms (like discharge from the nipple), should prompt immediate medical evaluation.

For young women, self-exams can be a useful tool for becoming familiar with their breast tissue. It is recommended to perform these exams monthly, ideally a few days after the menstrual period ends when the breasts are less likely to be swollen or tender. If you notice any new lumps, changes in existing lumps, or other unusual symptoms, it is crucial to seek medical advice promptly.

In summary, while the presence of lumps in the breast can be concerning, many are benign, especially in younger individuals. However, it is essential to have any persistent or changing lumps evaluated by a healthcare professional to rule out any serious conditions. Regular check-ups and awareness of your breast health are key components in managing your concerns and ensuring your well-being.

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