Breast Lumps: What Young Adults Should Know

Subareolar mass

Hello doctor: I am a 21-year-old college student, and I have had issues with being overweight.
Recently, I noticed a hard lump under my right breast that feels deep and has a slight pain.
I am very worried; could it be breast cancer?

Mr. Wang, 20~29 year old female. Ask Date: 2019/12/01

Dr. Chen Sirong reply Oncology

Mr.
Wang / 21 years old / Male
1.
21 years old, male, rare case of breast cancer.

2.
Overweight, may appear to have gynecomastia.

3.
A hard lump; advised to see a general surgeon for examination.
Wishing you a speedy recovery.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2019/12/01

More Info

It's understandable to feel concerned when you discover a lump in your breast, especially at a young age. However, it's important to remember that not all breast lumps are indicative of cancer. In fact, many breast lumps in young adults are benign (non-cancerous) and can be attributed to a variety of causes.

At 21 years old, the most common reasons for breast lumps include hormonal changes, particularly those associated with the menstrual cycle. Many young women experience breast tenderness and lumpiness due to hormonal fluctuations, which can lead to conditions such as fibrocystic breast changes. This condition is characterized by the presence of lumpy, painful areas in the breast tissue, often exacerbated during certain times of the menstrual cycle.

Another possibility is the development of a benign tumor, such as a fibroadenoma. Fibroadenomas are solid, non-cancerous lumps that are most common in young women. They are typically movable and can vary in size. While they may cause discomfort, they are not associated with an increased risk of breast cancer.

In your case, since you mentioned that the lump is located deeper in the breast and is accompanied by mild pain, it could be related to hormonal changes or a benign condition. However, it is crucial to have any new or unusual breast lump evaluated by a healthcare professional. A doctor can perform a physical examination and may recommend imaging tests, such as an ultrasound or mammogram, to further assess the lump.

It's also worth noting that breast cancer is relatively rare in young adults, but it can occur. Risk factors for breast cancer include family history, genetic mutations (such as BRCA1 and BRCA2), and certain lifestyle factors. If you have a family history of breast cancer or other concerning symptoms, it's even more important to seek medical advice.

In summary, while it’s natural to worry about a lump in your breast, many lumps in young adults are benign. The best course of action is to consult with a healthcare provider who can provide a thorough evaluation and peace of mind. They can guide you on the next steps, whether that involves monitoring the lump, further testing, or simply reassurance. Remember, early detection and understanding your body are key to maintaining breast health. Don't hesitate to reach out to a healthcare professional to discuss your concerns and get the appropriate care.

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