Breast issues
Hello: At the six o'clock position below the right breast, I felt a movable, not too hard "lump" about 0.5 cm in size, with discernible borders.
An ultrasound examination was performed, and the technician said it appeared to be just an enlargement of the breast tissue (the ultrasound was done two days before my period).
After my period ended, I checked again and could still feel it, but it didn't feel as hard.
Could this be considered fibrocystic breast changes? Thank you!
Niming, 30~39 year old female. Ask Date: 2016/09/12
Dr. Wu Jianting reply Breast and Thyroid
Breast tissue may swell due to hormonal changes before menstruation, so it is recommended to perform breast self-examinations about a week after the menstrual period for more accurate results.
If any lumps persist, it is advisable to follow up at a clinic.
Thank you for your question.
Reply Date: 2016/09/12
More Info
When it comes to breast health, the presence of a movable lump in the breast can often lead to concerns about whether it is a benign condition such as fibrocystic change or something more serious. Based on your description, it seems that you have a small, movable lump located at the six o'clock position of your right breast, which was evaluated through an ultrasound. The ultrasound technician suggested that it appears to be an enlargement of the breast tissue, which is not uncommon, especially in relation to hormonal changes during the menstrual cycle.
Fibrocystic breast changes are characterized by the presence of lumps or cysts in the breast tissue that can fluctuate in size and tenderness, often correlating with the menstrual cycle. These changes are typically benign and are caused by hormonal fluctuations that lead to the swelling of breast tissue. The fact that you noticed the lump before your menstrual period and that it felt less firm after your period ended supports the idea that this could be a fibrocystic change.
However, it is important to note that while fibrocystic changes are common and usually benign, any new or unusual breast lump should be monitored closely. The characteristics of the lump, such as its size, shape, and texture, as well as any associated symptoms like pain or changes in the skin over the lump, are important factors to consider.
In your case, since the lump is movable and not hard, and given that it has not changed significantly in size or character after your menstrual cycle, it is likely a benign condition. However, it is essential to follow up with your healthcare provider for further evaluation, especially if you notice any changes in the lump or if you have any new symptoms.
Regular breast self-exams are crucial for monitoring any changes in your breast tissue. If you have a family history of breast cancer or if you are concerned about the lump, it may be advisable to have a clinical breast exam and possibly a follow-up ultrasound or mammogram to ensure that there are no underlying issues.
In summary, while your symptoms and the ultrasound findings suggest that you may be experiencing fibrocystic changes, it is always best to consult with your healthcare provider for a thorough evaluation and to discuss any concerns you may have. They can provide personalized advice and determine if any further diagnostic tests are necessary to rule out other conditions. Remember, early detection and regular monitoring are key components of maintaining breast health.
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