Breast Lumps and Pain in Young Women: When to Seek Help

Chest issues

Hello, I turned seventeen today.
I have a habit of smoking and drinking.
Last year, I noticed a lump in my left chest, and this year I've been experiencing brief stabbing pains in the same area.
I've also realized that the lump has grown larger and is movable.
Additionally, I experience noticeable pain before my menstrual period.
Is this normal for a developing female, and is there a need to see a doctor for an examination?

Wuming, 10~19 year old female. Ask Date: 2017/05/20

Dr. Wu Jianting reply Breast and Thyroid

At the age of 17, during breast development, breast tissue will indeed grow.
However, if you feel a lump that is increasing in size, it is advisable to visit a clinic for an examination.
Thank you for your inquiry.

Reply Date: 2017/05/20

More Info

Breast lumps and pain can be concerning, especially for young women who are still developing. At 17 years old, it's important to understand that breast tissue is still undergoing changes due to hormonal fluctuations, particularly during the menstrual cycle. The symptoms you describe, including a lump in your left breast that has grown and is associated with sharp pain, warrant further evaluation.

Firstly, it's essential to recognize that breast lumps in young women are often benign (non-cancerous). Common causes of breast lumps in this age group include fibrocystic changes, which are related to hormonal fluctuations, and fibroadenomas, which are solid, benign tumors. These conditions can cause breast pain and tenderness, especially in the days leading up to menstruation. However, the fact that you have noticed a change in the size of the lump and are experiencing persistent pain is significant.

Given your smoking and drinking habits, it's also crucial to consider that these lifestyle factors can impact your overall health, including breast health. Smoking has been linked to various health issues, including hormonal imbalances, which could exacerbate breast pain or lump formation. Alcohol consumption can also affect hormone levels and overall breast tissue health.

You mentioned that the lump is movable, which is often a reassuring sign, as fixed lumps are more concerning. However, the increase in size and the associated pain should not be ignored. It is advisable to seek medical attention to have the lump evaluated by a healthcare professional. A clinical breast examination and possibly imaging studies, such as an ultrasound, can help determine the nature of the lump. In some cases, a biopsy may be necessary to rule out any serious conditions.

In terms of when to seek help, you should definitely consider making an appointment with a healthcare provider if:
1. The lump continues to grow or change in shape.

2. You experience persistent pain that does not correlate with your menstrual cycle.

3. You notice any changes in the skin over the breast, such as redness, dimpling, or discharge from the nipple.

4. You have a family history of breast cancer or other breast conditions.

In the United States, many healthcare providers recommend that young women perform regular breast self-exams to become familiar with their breast tissue. This can help you notice any changes more readily. However, self-exams should not replace professional evaluations, especially if you have concerns.

In conclusion, while many breast lumps in young women are benign, the changes you are experiencing should be evaluated by a healthcare professional. It is always better to err on the side of caution when it comes to breast health. Make an appointment with a doctor or a breast specialist who can provide a thorough examination and guide you through the next steps. Remember, your health is paramount, and seeking help is a proactive step towards ensuring your well-being.

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