Mobile Breast Lumps: Should You Consider Surgery? - Obstetrics and Gynecology

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There are movable soft lumps in the breast?


Hello, Doctor.
I am 18 years old and I have a lump in the lower right quadrant of my right breast.
It is not painful and it keeps moving.
I had an ultrasound done the day before yesterday, and the doctor informed me that there are two lumps close to each other, one measuring 2 cm and the other 1 cm.
The doctor was able to determine from the ultrasound that they are benign.
Do I need to undergo surgery? If I do not have surgery, will there be any issues? Should I seek a second opinion from another doctor?

MICO, 10~19 year old female. Ask Date: 2018/04/26

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have a lump in the lower right quadrant of my right breast.
It is painless and keeps moving.
I had an ultrasound two days ago, and the doctor informed me that there are two lumps close together, one measuring 2 cm and the other 1 cm.
He determined that both are benign on the ultrasound.

1.
Do I need surgery?
Answer: No, surgery is not necessary.

2.
If I don't have surgery, will there be any issues?
Answer: You should have an ultrasound check-up once a year.

3.
Do I need to see another doctor?
Answer: No, there is no need to see another doctor.

Reply Date: 2018/04/26

More Info


When it comes to breast lumps, especially in young individuals like yourself, it’s essential to approach the situation with caution and informed decision-making. Based on your description of having two lumps in your right breast, one measuring 2 cm and the other 1 cm, and the fact that they have been assessed as benign by your doctor during an ultrasound, there are several factors to consider regarding whether or not to pursue surgery.

Firstly, benign breast lumps are quite common, especially in younger women. These can include conditions such as fibroadenomas, cysts, or other non-cancerous growths. The fact that your doctor has indicated that these lumps appear benign is a positive sign. However, it’s crucial to monitor any changes in size, shape, or symptoms associated with these lumps. Regular follow-up appointments and imaging studies, such as ultrasounds or mammograms, may be recommended to ensure that the lumps remain stable over time.

Regarding the question of whether surgery is necessary, it often depends on several factors:
1. Symptoms: If the lumps are causing discomfort, pain, or any other symptoms, surgical removal may be considered to alleviate these issues.

2. Size and Growth: If the lumps are stable and not growing, many healthcare providers may recommend a watchful waiting approach rather than immediate surgery. However, if there is any indication that the lumps are changing, further evaluation may be warranted.

3. Personal Preference: Some individuals may prefer to have lumps removed for peace of mind, even if they are benign. Discussing your concerns and preferences with your healthcare provider can help guide this decision.

If you choose not to have surgery, it is essential to maintain regular check-ups with your healthcare provider. This will allow for ongoing monitoring of the lumps and any necessary imaging to ensure they remain benign. If you have any doubts or concerns about the diagnosis or management plan, seeking a second opinion from another healthcare professional can provide additional reassurance and options.

In summary, while surgery is not always necessary for benign breast lumps, it is crucial to have a thorough discussion with your healthcare provider about your specific situation. They can help you weigh the risks and benefits of surgery versus monitoring. Remember, your health and peace of mind are paramount, and you should feel comfortable with the plan moving forward. Regular follow-ups and open communication with your doctor will be key in managing your breast health effectively.

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