Breast Lumps in Adolescents: What You Need to Know - Breast and Thyroid

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Breast lump


Hello doctor, I am 14 years old.
My breast development has been ongoing for some time, but since the beginning of the development, I have had a lump that is slightly smaller than my breast.
When I apply light pressure, I feel a bit of tightness and pain in my nipple, and it does not change in size with my menstrual cycle.
Is this normal?

Niming, 10~19 year old female. Ask Date: 2016/04/14

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Anonymous: The majority of the tissue is normal breast ductal tissue, typically appearing as a single mass.
As long as there are no enlarging lumps, observation is sufficient.

Reply Date: 2016/04/14

More Info


Understanding breast lumps in adolescents can be a source of concern for many young individuals. At the age of 14, it is common for girls to experience various changes in their breasts as they go through puberty. The development of breast tissue is influenced by hormonal changes, and it is not unusual to feel lumps or areas of firmness in the breast during this time.

Breast tissue is composed of glandular tissue, fat, and connective tissue. As the breasts develop, they can feel lumpy or uneven due to the growth of glandular tissue and the distribution of fat. This is particularly true during puberty when the body is undergoing significant hormonal changes. The presence of small lumps that are slightly painful when pressed is often a normal part of breast development. However, if the lumps are hard, persistent, or accompanied by other symptoms such as significant pain, changes in the skin, or unusual discharge, it is advisable to consult a healthcare professional for further evaluation.

It is also important to note that breast pain, or mastalgia, is a common experience among adolescents. This discomfort can be cyclical, often correlating with the menstrual cycle, but it can also occur independently of it. The pain can be attributed to hormonal fluctuations, which can cause the breast tissue to swell and become tender. If the pain you are experiencing does not correlate with your menstrual cycle and is persistent, it may be worth discussing with a doctor.

In terms of the lumps you are feeling, they may be related to a condition known as fibrocystic breast changes, which is characterized by lumpy, painful breasts and is quite common among women of reproductive age. These changes are usually benign and can be managed with lifestyle adjustments, such as wearing a supportive bra, reducing caffeine intake, and managing stress.

If you are concerned about the lumps or any associated symptoms, it is always best to seek medical advice. A healthcare provider can perform a clinical breast examination and may recommend imaging studies, such as an ultrasound, to assess the lumps further. They can also provide reassurance and guidance on what to expect as your body continues to develop.

In summary, while the presence of lumps and breast tenderness can be normal during puberty, it is essential to monitor any changes and consult a healthcare professional if you have concerns. Regular self-examinations can help you become familiar with your breast tissue and identify any changes that may require further investigation. Remember, your health and peace of mind are important, and seeking advice from a trusted medical professional is always a good step when you have questions about your body.

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