Breast Lumps: When to Seek Medical Advice

Q: Breast Lumps: When to Seek Medical Advice

Hello, netizen： The incidence of male breast cancer is approximately less than 1%, so it may just be gynecomastia (relative development of breast tissue in males). <br>Therefore, it is suggested to simply observe. <br>：) By Dr. <br>Hu Zi-ren

Breast lump

Hello Doctor, I have noticed that since my university days, I could feel spindle-shaped hard lumps in both of my breasts that seemed like lymph nodes.
At that time, I consulted a doctor who said there was no problem.
Recently, while showering, I found that the one on the left seems to have shrunk to the point where I can barely feel it, but the one on the right appears to have enlarged (it feels like an elongated lymph node, about the width of a finger).
There are mainly two larger ones (the others are smaller and harder to feel), and they feel movable when I touch them.
Should I go to a major hospital for further examination?

Niming, 20~29 year old female. Ask Date: 2017/04/18

Dr. Hu Ziren reply Oncology

Hello, netizen: The incidence of male breast cancer is approximately less than 1%, so it may just be gynecomastia (relative development of breast tissue in males).
Therefore, it is suggested to simply observe.
:) By Dr.
Hu Zi-ren

Reply Date: 2017/04/18

More Info

When it comes to breast lumps, understanding when to seek medical advice is crucial for your health and peace of mind. Based on your description, it sounds like you have been monitoring changes in your breast tissue for some time. You mentioned that you have felt spindle-shaped lumps in both breasts since your university days, and while the left side seems to have decreased in size, the right side appears to have increased. This situation warrants careful consideration and possibly further evaluation.

Breast lumps can arise from a variety of causes, ranging from benign conditions to more serious issues. Common benign causes include fibrocystic changes, fibroadenomas, and cysts. These conditions are often influenced by hormonal fluctuations and can lead to changes in breast tissue that may feel like lumps. However, it is essential to differentiate between benign and potentially malignant lumps, especially if there are changes in size or texture.

Given that you have noticed a change in the size of the lumps, particularly the enlargement of the right-sided lump, it is advisable to seek medical attention. While the lumps may have been deemed non-problematic in the past, any significant change in size, shape, or texture should be evaluated by a healthcare professional. A breast ultrasound or mammogram may be recommended to assess the characteristics of the lumps and rule out any concerning features.

In addition to imaging studies, your healthcare provider may perform a clinical breast exam to evaluate the lumps further. They may also consider a biopsy if there are any suspicious findings on imaging or if the lumps exhibit characteristics that warrant further investigation. A biopsy can provide definitive information about the nature of the lump, whether it is benign or malignant.

It is also important to consider your personal and family medical history. If there is a history of breast cancer in your family, or if you have other risk factors, your healthcare provider may recommend more frequent monitoring or additional testing.

In summary, while many breast lumps are benign, any changes in size or characteristics should prompt a visit to a healthcare provider. It is better to err on the side of caution and have a thorough evaluation. Early detection and diagnosis are key to managing any potential issues effectively. If you feel uncertain or anxious about your findings, do not hesitate to reach out to a breast specialist or a healthcare provider who can guide you through the necessary steps for evaluation and care. Your health and well-being are paramount, and seeking professional advice is the best course of action.

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