Breast Lumps: What Could It Mean for Your Health? - Breast and Thyroid

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Breast issues


Hello Doctor: I am 24 years old and I felt a small movable lump on the left side of my right breast.
It is not painful.
What could it possibly be? Is it possible that it is breast cancer?

Miss Chen, 20~29 year old female. Ask Date: 2019/06/17

Dr. Yuan Tianmin reply Breast and Thyroid


Based on your age and the described condition, the likelihood of cancer is low; however, it is still necessary to visit a breast surgery clinic for evaluation.

Reply Date: 2019/06/17

More Info


When it comes to breast lumps, especially in young women like yourself, it's important to approach the situation with both caution and awareness. At 24 years old, finding a movable lump in your breast can understandably cause concern, particularly regarding the possibility of breast cancer. However, it's essential to recognize that not all breast lumps are indicative of cancer.

Breast tissue is composed of glandular tissue, connective tissue, and fatty tissue, and lumps can arise from various causes. Here are some common possibilities:
1. Fibroadenomas: These are benign (non-cancerous) tumors that are most common in younger women. They are usually smooth, firm, and movable, and they can vary in size. Fibroadenomas are generally painless and can be monitored over time.

2. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can feel like lumps and may be tender, especially before menstruation. Cysts can also be movable and are typically benign.

3. Fibrocystic Changes: Many women experience fibrocystic breast changes, which can lead to lumpiness and tenderness in the breasts. These changes are often related to hormonal fluctuations during the menstrual cycle.

4. Lipomas: These are benign tumors made of fatty tissue. They are usually soft, movable, and painless.

5. Infection or Inflammation: Conditions such as mastitis (an infection of the breast tissue) can cause lumps and tenderness, though these are often accompanied by other symptoms like redness and warmth.

While the majority of breast lumps in young women are benign, it is crucial to have any new or unusual lumps evaluated by a healthcare professional. A clinical breast exam, and possibly imaging studies like an ultrasound or mammogram, can help determine the nature of the lump. In some cases, a biopsy may be necessary to rule out cancer.

Regarding your concern about breast cancer, it is important to note that breast cancer is relatively rare in women under 30. However, certain risk factors can increase the likelihood, including a family history of breast cancer, genetic mutations (such as BRCA1 or BRCA2), and personal health history.
If you are experiencing any other symptoms, such as changes in the skin of the breast, discharge from the nipple, or changes in the shape or size of the breast, these should also be discussed with your doctor.

In summary, while the lump you described could be benign, it is essential to seek medical advice for a proper evaluation. Early detection and diagnosis are key in managing breast health, and a healthcare provider can offer the best guidance tailored to your specific situation. Remember, being proactive about your health is the best approach.

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