Breast Lumps: When to Seek Medical Attention - Surgery

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Breast lump


I am a middle school student and recently discovered a hard lump in my left breast that hurts when pressed, and there are many small bumps.
Is this normal? Do I need to see a doctor?

Wu Shanglong, 10~19 year old female. Ask Date: 2017/05/21

Dr. Wu Yuting reply Surgery


Hello, Shang Long: It is recommended to seek medical consultation! * Breast Surgery, Xinying Hospital * Dr.
Wu Yu-Ting

Reply Date: 2017/05/21

More Info


Breast lumps can be a source of concern, especially for young individuals like yourself. It’s important to understand that while many breast lumps are benign (non-cancerous), any new or unusual changes in your breasts should be evaluated by a healthcare professional.
In your case, you mentioned that you have discovered a hard lump in your left breast that is painful when pressed, along with several small protrusions. Pain in a breast lump can sometimes indicate that it is benign, as many breast cancers are typically painless. However, the presence of a hard lump and changes in the breast, such as the small bumps you described, warrant further investigation.

Here are some key points to consider regarding breast lumps:
1. Common Causes of Breast Lumps:
- Fibrocystic Changes: This is a common condition characterized by lumpy, painful breasts, often related to hormonal changes during the menstrual cycle.

- Cysts: Fluid-filled sacs that can develop in the breast tissue. They can be painful and may feel like a lump.

- Fibroadenomas: These are solid, benign tumors that are often found in younger women. They are usually painless and can feel like a marble in the breast.

- Infections or Abscesses: Sometimes, lumps can be caused by infections, which may also present with pain and swelling.

2. When to Seek Medical Attention:
- If you notice a new lump or change in your breast, it is advisable to see a healthcare provider, especially if the lump is hard, persistent, or associated with pain.

- Any changes in the skin of the breast, such as redness, swelling, or dimpling, should also be evaluated.

- If you experience any unusual discharge from the nipple, especially if it is bloody or occurs without squeezing, this is another reason to seek medical advice.

3. What to Expect During a Medical Evaluation:
- Your doctor will likely perform a physical examination of your breasts and may ask about your medical history and any family history of breast conditions.

- Depending on the findings, they may recommend imaging tests such as a mammogram or ultrasound to further evaluate the lump.

- In some cases, a biopsy may be necessary to determine the nature of the lump.

4. Self-Examination:
- It’s a good practice to perform regular self-examinations of your breasts. This helps you become familiar with how your breasts normally feel, making it easier to notice any changes.

- When performing a self-exam, check for lumps, changes in size or shape, and any unusual skin changes.

5. Emotional Support:
- It’s normal to feel anxious about breast changes, especially at a young age. Talking to a trusted adult, such as a parent or school counselor, can help you navigate your feelings and the next steps.

In conclusion, while many breast lumps in young individuals are benign, it is crucial to have any new or concerning changes evaluated by a healthcare professional. Early assessment and intervention can provide peace of mind and ensure that any potential issues are addressed promptly. If you have not already done so, I encourage you to speak with a parent or guardian about your concerns and seek medical attention. Your health and well-being are important, and being proactive is the best approach.

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