Breast Lumps: When to Seek Medical Attention - Surgery

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Hello doctor, I have been experiencing significant pain in my left breast 15 days before my menstrual period, and I noticed that a lump in my breast has increased in size.
I initially thought it was a sign that my period was approaching, so I didn't think much of it.
After my period ended, the pain disappeared, but the lump has not gone away.
It has been over three weeks now, and I'm unsure whether to continue monitoring it or to see a doctor.
I also noticed a slight difference in size between my two breasts when I looked in the mirror.
Could this be breast cancer?

Yin, 10~19 year old female. Ask Date: 2018/08/25

Dr. Li Zhonghuai reply Surgery


Hello! "It has been over three weeks, and I'm unsure whether to continue monitoring or see a doctor.
I've noticed a slight difference in size between my breasts when I look in the mirror.
Could this be breast cancer?" It is recommended to get an ultrasound.
If there is any discharge, please do not express it before your appointment, as it needs to be sent for testing.
Take care! Changhua Hospital cares about you!

Reply Date: 2018/08/25

More Info


When it comes to breast lumps and associated symptoms, it is crucial to understand the potential implications and when to seek medical attention. Based on your description, you are experiencing significant breast pain and have noticed a hard lump that has persisted even after your menstrual cycle. This situation warrants careful consideration.

Breast pain, or mastalgia, can be cyclical, often linked to hormonal changes during the menstrual cycle. However, when breast pain is accompanied by a noticeable lump that does not resolve after your period, it raises concerns that should not be overlooked. The fact that you have observed a difference in size between your breasts can also be a point of concern, although it is not uncommon for breasts to have slight asymmetries.

In general, breast lumps can be categorized into several types, including benign conditions such as cysts or fibroadenomas, and malignant conditions, such as breast cancer. While the majority of breast lumps are benign, it is essential to evaluate any new or changing lumps, especially if they are accompanied by pain, changes in size, or other symptoms.

Given that you have been experiencing this lump for over three weeks without improvement, it is advisable to seek medical attention. A healthcare professional will likely perform a clinical breast examination and may recommend imaging studies such as a mammogram or ultrasound to assess the lump further. These imaging techniques can help differentiate between benign and malignant masses.

In addition to imaging, if the lump is concerning, your doctor may suggest a biopsy to obtain tissue samples for pathological examination. This is a critical step in determining the nature of the lump and whether it is benign or malignant.

It is also important to consider your family history of breast cancer and any other risk factors you may have. Risk factors can include age, genetic predisposition (such as BRCA1 or BRCA2 mutations), personal history of breast conditions, and lifestyle factors.

While it is natural to feel anxious about the possibility of breast cancer, it is essential to remember that early detection and diagnosis significantly improve outcomes. If breast cancer is detected, treatment options may include surgery, radiation therapy, chemotherapy, or hormone therapy, depending on the type and stage of cancer.

In summary, given your symptoms of persistent breast pain, a hard lump, and changes in breast size, it is strongly recommended that you schedule an appointment with your healthcare provider as soon as possible. They will be able to conduct a thorough evaluation and guide you through the necessary steps for diagnosis and management. Remember, it is always better to err on the side of caution when it comes to breast health. Regular self-examinations and awareness of changes in your breasts are vital components of maintaining breast health.

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