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

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Breast lump


Hello doctor, I am an 18-year-old high school student who has never engaged in sexual activity.
I have noticed that both sides of my breasts seem to have lumps (they feel to be in roughly the same position), with the left side being more pronounced.
The shape of my breasts appears normal without any irregularities.
When I press on them, both sides are painful, but if there is movement or pressure without pressing, only the left side tends to hurt more, and it seems to be immobile.
Additionally, the left side of my armpit seems slightly swollen, but that has been there for a while.
I previously mentioned this to my mother, who said it might be due to my menstrual cycle approaching (and my periods are irregular, sometimes occurring every other month).
I have noticed that the pain does seem to increase before my period and decreases afterward, and the size of the lumps has not changed.
The left breast is also slightly larger than the right, but my mother said that is normal.
I have never had any breast examinations, so I am unsure.
Due to personal reasons, I cannot visit a hospital for an examination in the short term.
Could this possibly be breast cancer? However, I am only 18; what are the chances of an 18-year-old girl developing breast cancer? I am also wondering if my irregular lifestyle might be related.

Niming, 10~19 year old female. Ask Date: 2016/07/14

Dr. Yuan Tianmin reply Breast and Thyroid


1.
Breast pain is associated with various factors, including neurological, muscular, vascular, and endocrine influences.
In premenopausal women, it is mostly related to the menstrual cycle, often occurring periodically, although a small portion may experience pain at any time.

2.
The vast majority of women have breasts that are not exactly the same size, but the difference is usually minimal; otherwise, it would be difficult to find suitable bras.

3.
Young women can develop breast cancer, but this is an extreme and rare occurrence; young age is not typically a common age for breast cancer onset.

4.
Breast lumps are common in young women.
However, to confirm the presence of any abnormalities, ultrasound examination is necessary.
Young women do not require mammography.

5.
If there are still questions regarding the above explanations, please consult a breast surgery clinic.

Reply Date: 2016/07/14

More Info


Understanding breast lumps in teenagers can be a source of anxiety, especially when experiencing changes in breast tissue. As an 18-year-old female, it’s important to recognize that breast development can vary significantly among individuals, and many changes during this period are normal.
From your description, it sounds like you are experiencing some common symptoms associated with hormonal changes, particularly related to your menstrual cycle. Breast tenderness and lumpiness can often be linked to hormonal fluctuations that occur before menstruation. This is known as cyclical mastalgia, which is characterized by breast pain that correlates with the menstrual cycle. It is common for breast tissue to feel more lumpy or tender during this time due to the swelling of glandular tissue in response to estrogen and progesterone.

The presence of lumps in your breasts, especially if they are painful and associated with your menstrual cycle, is typically not a cause for alarm. Many young women experience benign conditions such as fibrocystic breast changes, which can cause lumpiness and tenderness. These changes are often influenced by hormonal levels and can vary throughout the menstrual cycle.
Regarding the specific concerns you have about the left breast being more painful and possibly having a lump, it is essential to monitor these changes. If the lump is persistent, feels hard, or changes in size or shape, it would be advisable to seek a medical evaluation. While breast cancer is rare in young women, it is not impossible, and any new or unusual changes should be assessed by a healthcare professional.
The fact that you mentioned a lump in your armpit (axillary area) could also be related to lymph nodes, which can become reactive due to various reasons, including hormonal changes, infections, or other benign conditions. If this lump has been present for a long time and does not change, it is likely benign, but again, monitoring is key.

You also mentioned irregular menstrual cycles, which can sometimes be linked to lifestyle factors such as stress, diet, and exercise. Irregular periods can be caused by hormonal imbalances, and maintaining a healthy lifestyle can help regulate your menstrual cycle.
In summary, while it is understandable to be concerned about breast lumps and pain, many young women experience similar symptoms due to hormonal changes. Here are some recommendations for you:
1. Self-Examination: Continue to perform regular self-examinations of your breasts. Familiarize yourself with how your breasts normally feel, so you can more easily identify any changes.

2. Monitor Symptoms: Keep track of any changes in the lumps, including size, shape, and any associated pain. Note if the pain correlates with your menstrual cycle.

3. Seek Medical Advice: If you notice any persistent changes or if the pain becomes severe, it is important to consult with a healthcare provider. They can perform a clinical breast exam and may recommend imaging studies if necessary.

4. Healthy Lifestyle: Focus on maintaining a balanced diet, regular exercise, and managing stress, as these can positively influence your hormonal balance and overall health.

5. Education: Educate yourself about breast health and the normal variations in breast tissue. Understanding what is typical can help alleviate anxiety.

In conclusion, while it is natural to worry about breast changes, many of these symptoms are common and often benign in young women. However, staying vigilant and proactive about your health is always a good approach. If you have any further concerns, don’t hesitate to reach out to a healthcare professional when you are able.

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