Hard Lump Above Breast: What Could It Be?

There is a lump above the breast?

Hello, doctor.
I have a history of breast fibroadenomas, which are benign and monitored regularly every year.
Two weeks ago, around mid-August, I suddenly noticed a very hard lump on the upper part of my breast that felt like a pimple.
It was red, raised, and somewhat painful.
My menstrual period started on August 19 and continued until it ended.
The lump is still there but has become less prominent, less red, and no longer painful, although it still appears slightly red.
Could you please advise if there is any issue with this? I hope it’s just a pimple...

Oceane, 30~39 year old female. Ask Date: 2016/08/29

Dr. Wu Jianting reply Breast and Thyroid

The hard lump can only be accurately diagnosed through an actual clinical examination.
What you described sounds like an infection; acne is a possibility as well.
However, I still recommend visiting an outpatient clinic for a proper assessment.
Thank you for your inquiry.

Reply Date: 2016/08/29

More Info

When it comes to the presence of a hard lump above the breast, especially in the context of a history of benign breast conditions like a fibroadenoma, it’s important to approach the situation with caution and awareness. While the likelihood of breast cancer in young individuals, particularly males, is quite low, any new or unusual changes in breast tissue should be evaluated by a healthcare professional.

In your case, you mentioned that the lump appeared suddenly and has characteristics such as being hard, slightly red, and painful. These features could suggest several possibilities. One common cause of a hard lump in the breast area, especially if it is painful and red, could be a benign condition such as a cyst or an infection (like a breast abscess). Infections can lead to localized inflammation, resulting in redness, swelling, and tenderness. Another possibility could be a sebaceous cyst, which can occur when a hair follicle becomes clogged. These cysts can sometimes become inflamed and painful.

Given your history of fibroadenomas, it’s also worth noting that while these are typically benign, any changes in the breast tissue should be monitored. Fibroadenomas can sometimes change in size or texture, and while they are generally not associated with cancer, any new lump or change should be assessed to rule out any complications or other conditions.

It’s encouraging that you’ve noticed a decrease in the lump’s prominence and pain, which may indicate that it is resolving on its own. However, the persistence of any lump, especially one that has changed in appearance or sensation, warrants further investigation. It’s essential to consult with a healthcare provider, ideally a specialist in breast health, who can perform a thorough examination and possibly recommend imaging studies, such as an ultrasound or mammogram, to better understand the nature of the lump.

In summary, while the characteristics of the lump you described may suggest a benign condition, it’s crucial to seek medical advice to ensure proper diagnosis and management. Early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly. Remember, it’s always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas like the breast.

Similar Q&A

Understanding Hard Lumps in the Breast: Causes and Concerns

Hello, Dr. Hsu. Recently, I discovered a small hard lump at the lower edge of my right breast (near the bottom edge), just above the rib cage. It's about the size of a one-dollar coin (located near the cleavage area). It is very painful when pressed and does not move. I aske...

Dr. Xu Junzheng reply Obstetrics and Gynecology
The likelihood of a tumor is low, but it is still recommended to consult a physician for an examination. If you have difficulty overcoming psychological barriers, you may consider seeing a female doctor. Thank you!

What Could a Hard Lump Under the Right Breast Indicate?

There is a small lump located on the lower right side of my chest, approximately where the underwire of my bra sits. What could it be? I haven't had the time to see a doctor yet, so I'm asking here first.

Dr. Li Qinglong reply Surgery
Hello: Based on your description, it is not possible to determine the cause of your condition. I recommend that you visit a hospital for a personal examination by a physician to understand the underlying cause.

Understanding Breast Lumps: Causes, Symptoms, and When to Worry

There is a hard lump in the upper part of the left breast that sometimes increases in size and sometimes decreases. It is not painful but is movable, and it tends to enlarge during menstruation. Is this breast cancer?

Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to undergo an ultrasound at a general surgery or breast surgery department. Your description is most likely indicative of a fibroadenoma or a fibrocystic condition. Given your age, I suggest that the hospital retains the ultrasound and mammogram for futur...

Understanding Breast Lumps: Causes, Concerns, and Treatment Options

Hello, doctor. I recently noticed a lump under my breast that resembles a pimple or an abscess. It is red, swollen, and painful to the touch, and feels hard. When I try to squeeze it, a little pus and fluid come out, similar to an immature pimple. I'm very worried it might b...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Dear Ms. Hsiao-Fang, The source of acne or sebaceous gland inflammation is due to bacterial infection and inflammation of the sebaceous glands in the dermis. This condition can also occur on the skin of the breast and the areola. However, breast cancer originates from the breast...