Possible Causes of a 2cm Hard Lump Under the Left Nipple - Oncology

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Nipple lump (left)


Hello doctor, two weeks ago I discovered a hard lump about 2 centimeters in size located just below the left nipple.
It does not cause any pain when lightly pressed.
What could this possibly be?

Niming, 10~19 year old female. Ask Date: 2016/05/02

Dr. Lai Yicheng reply Oncology


Dear Student,
I acknowledge your message.
In response, I would like to inform you that general lumps can be classified as benign or malignant.
A thorough clinical evaluation and examination are necessary for proper assessment.
I recommend seeking consultation with a breast surgeon at Changhua Hospital for further care.

Sincerely,
Dr.
Lai Yi-Cheng, Radiation Oncology

Reply Date: 2016/05/02

More Info


The discovery of a hard lump under the left nipple can be concerning, and it's important to approach this situation with careful consideration of potential causes. Given that the lump is approximately 2 cm in size and is not painful upon light pressure, there are several possibilities to consider.

1. Fibroadenoma: This is a common benign breast tumor that often occurs in younger women. Fibroadenomas are typically painless, firm, and movable lumps. They can vary in size and may feel like a rubbery mass.

2. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can be tender or painless and may fluctuate in size with the menstrual cycle. A cyst may feel like a smooth lump and can be diagnosed through imaging studies such as an ultrasound.

3. Lipoma: A lipoma is a benign tumor made of fat tissue. These are usually soft, movable, and painless lumps. They can occur anywhere in the body, including the breast area.

4. Intraductal Papilloma: This is a small, wart-like growth in the ducts of the breast. While they can cause discharge from the nipple, they may also present as a lump without pain.

5. Breast Cancer: Although less common, it is essential to consider the possibility of breast cancer, especially if there are other symptoms such as changes in the skin, nipple discharge, or a family history of breast cancer. Breast cancer lumps can be hard and may not be painful.

6. Hormonal Changes: Hormonal fluctuations, particularly those related to the menstrual cycle, can lead to the development of lumps in the breast tissue. These lumps may resolve on their own.

Given the variety of potential causes, it is crucial to seek medical evaluation. A healthcare provider will likely recommend imaging studies, such as a mammogram or ultrasound, to assess the lump further. In some cases, a biopsy may be necessary to determine the nature of the lump definitively.


Recommendations:
- Schedule an Appointment: It is advisable to see a healthcare professional, preferably a breast specialist or a general practitioner, who can perform a physical examination and order appropriate imaging studies.

- Monitor Changes: Keep track of any changes in the lump, including size, shape, or any new symptoms such as pain or discharge.

- Family History: Be prepared to discuss your family history of breast conditions, as this information can be relevant to your evaluation.


Conclusion:
While many lumps in the breast are benign, it is essential to have any new or unusual breast lump evaluated by a healthcare professional. Early diagnosis and intervention are key to managing any potential issues effectively. Remember, it is always better to err on the side of caution when it comes to changes in your body.

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