Breast Lumps: What Teens Need to Know About Breast Health - Breast and Thyroid

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Breast lump


I am 17 years old and currently in my second year of high school.
My menstrual cycle is very irregular, occurring only once every few months.
I got my first period during the summer after finishing middle school and have only had it 6 or 7 times since then.
Additionally, I have a sizable movable lump in my right breast, while the left side has a smaller lump.
Both sides are painful, but there is no discharge of any pus from the breasts.
Could this be a tumor? Is it likely to be malignant or benign?

Daisy15, 10~19 year old female. Ask Date: 2016/06/17

Dr. Wu Jianting reply Breast and Thyroid


If a lump can be felt in the breast, it is still recommended to visit a clinic for examination.
Of course, in women during their developmental stages, breast tissue may have a more uneven distribution.
It is important to assess based on actual palpation or relevant examinations, so there is no need to be overly anxious at this point.

Reply Date: 2016/06/17

More Info


Understanding breast health, especially during the teenage years, is crucial as it can be a source of concern for many young women. At 17, experiencing irregular menstrual cycles and noticing breast lumps can understandably lead to anxiety. Let's break down your concerns regarding breast lumps and overall breast health.

Firstly, it's important to recognize that breast tissue is composed of glandular tissue, fat, and connective tissue. During puberty, hormonal changes can lead to the development of breast lumps, which are often benign (non-cancerous). These lumps can be caused by various factors, including hormonal fluctuations, cysts, or fibrocystic breast changes, which are common in young women. The fact that you mentioned the lump in your right breast is movable and that both breasts are painful suggests that it may be related to hormonal changes rather than a malignant tumor.
Breast pain, especially cyclical pain that correlates with your menstrual cycle, is often due to hormonal changes. Since you mentioned that your menstrual cycle is irregular, it could be contributing to the breast tenderness and lumpiness you are experiencing. Irregular periods can result from various factors, including stress, diet, exercise, and hormonal imbalances. It’s essential to consult a healthcare provider to evaluate your menstrual irregularities, as they can provide insight into your overall hormonal health.

Regarding the lump itself, while it’s natural to worry about the possibility of breast cancer, it’s important to note that breast cancer is rare in teenagers. Most breast lumps in adolescents are benign. However, any new or unusual lump should be evaluated by a healthcare professional. A doctor may perform a physical examination and, if necessary, recommend imaging tests such as an ultrasound or mammogram to assess the lump further.
You mentioned that the lump does not produce any discharge, which is a positive sign. Discharge from the nipple can sometimes indicate a more serious condition, but in your case, the absence of discharge is reassuring. However, it’s crucial to monitor the lump for any changes in size, shape, or associated symptoms like persistent pain or changes in the skin over the lump.

In terms of breast health, maintaining a healthy lifestyle can be beneficial. This includes a balanced diet, regular exercise, and managing stress. Additionally, wearing a supportive bra can help alleviate discomfort associated with breast pain.
If you have not already done so, I strongly encourage you to schedule an appointment with a healthcare provider, such as a gynecologist or a breast specialist. They can provide a thorough evaluation and address your concerns about the lump and your menstrual irregularities. It’s essential to have open communication with your healthcare provider about your symptoms and any changes you notice in your body.

In summary, while breast lumps can be concerning, many are benign, especially in teenagers. Your irregular menstrual cycle may be contributing to your symptoms, and it’s important to seek medical advice for proper evaluation and peace of mind. Remember, taking care of your breast health is an important aspect of your overall well-being, and being proactive about any changes you notice is key to maintaining good health.

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