Painful Breast Lumps: Causes and When to Seek Help - Breast and Thyroid

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There is a hard lump in the chest?


I found a hard lump on my right chest, and it hurts.
I discovered it recently.
What could be the cause?

Niming, 20~29 year old female. Ask Date: 2016/04/30

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Anonymous: It may be a change related to a small tumor.
Please observe for any changes 3-5 days after your menstrual period ends.
If there is no decrease or increase in size, then a clinic examination is recommended.

Reply Date: 2016/04/30

More Info


Breast lumps can be a source of concern for many individuals, and understanding the potential causes and when to seek medical help is crucial for maintaining breast health. In your case, the presence of a hard lump in the right breast accompanied by pain warrants careful consideration.

Firstly, it is important to recognize that breast lumps can arise from a variety of conditions, some benign and others more serious. Common benign causes include:
1. Fibrocystic Changes: This is a common condition characterized by lumpy, painful breasts, often related to hormonal fluctuations during the menstrual cycle. Women may experience tenderness and discomfort, particularly in the days leading up to their period.

2. Cysts: Fluid-filled sacs in the breast tissue can develop and may cause pain or discomfort. These are usually benign and can vary in size.

3. Fibroadenomas: These are solid, non-cancerous tumors that can feel like a lump in the breast. They are most common in younger women and can be painful or painless.

4. Infections or Inflammatory Conditions: Conditions such as mastitis (an infection of the breast tissue) can cause localized pain and swelling, often accompanied by redness and warmth in the affected area.

5. Breast Cancer: While less common, a painful lump can sometimes indicate breast cancer, especially if it is hard, irregular in shape, or accompanied by other symptoms such as changes in the skin or nipple discharge.

Given that you have recently discovered a hard lump that is painful, it is essential to take the following steps:
1. Self-Examination: Continue to monitor the lump for any changes in size, shape, or texture. Note any additional symptoms such as changes in the skin over the lump, nipple discharge, or swelling in the surrounding area.

2. Seek Medical Evaluation: It is crucial to consult a healthcare professional, preferably a breast specialist or a general surgeon, for a thorough evaluation. They may recommend imaging studies such as a mammogram or ultrasound to assess the lump further. These tests can help differentiate between benign and malignant conditions.

3. Biopsy: If there is any concern regarding the nature of the lump, a biopsy may be performed to obtain a tissue sample for further analysis. This is the only definitive way to determine whether a lump is cancerous.

4. Avoid Self-Diagnosis: While it is natural to search for answers online, self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for accurate diagnosis and treatment options.

In summary, while many breast lumps are benign and manageable, the presence of a painful hard lump necessitates prompt medical attention. Early evaluation and diagnosis are key to addressing any potential issues effectively. Remember, regular breast self-exams and routine screenings are vital components of breast health, enabling early detection of any changes that may require further investigation. Always prioritize your health and seek professional guidance when in doubt.

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