Breast Lumps: Causes, Symptoms, and When to Seek Help

Breast lump?

I have a hard lump in my breast, which is quite noticeable because my breasts are smaller.
Sometimes it feels itchy and painful, but most of the time it only hurts when I press on it or manipulate it.
I researched breast cancer characteristics online, and it doesn't seem to match because there is no discharge or bleeding, but I do feel a bit of pressure.
Could it be a tumor?

Lala, 10~19 year old female. Ask Date: 2020/06/30

Dr. Cai Yonglong reply Obstetrics and Gynecology

You must undergo breast examinations (ultrasound and mammography) at a gynecology or breast surgery department.

Reply Date: 2020/06/30

More Info

When it comes to breast lumps, understanding their causes, symptoms, and when to seek medical help is crucial for maintaining breast health. Breast lumps can arise from a variety of conditions, some benign and others more serious.
Causes of Breast Lumps:
1. Fibrocystic Changes: This is one of the most common causes of breast lumps, particularly in women of reproductive age. It involves the development of cysts and fibrous tissue in the breast, often linked to hormonal fluctuations during the menstrual cycle. These lumps can feel lumpy or rope-like and may be tender, especially before menstruation.

2. Fibroadenomas: These are benign tumors made up of glandular and connective tissue. They are typically painless, firm, and movable under the skin. Fibroadenomas are most common in younger women and can vary in size.

3. Cysts: Fluid-filled sacs that can develop in the breast tissue. They can be painful or tender, especially if they become large or if they rupture.

4. Infections or Inflammatory Conditions: Conditions such as mastitis can cause lumps in the breast, often accompanied by redness, swelling, and pain. This is more common in breastfeeding women.

5. Breast Cancer: While many lumps are benign, any new lump should be evaluated by a healthcare professional to rule out breast cancer. Signs of breast cancer can include a hard lump, changes in breast shape or size, skin dimpling, or discharge from the nipple.

Symptoms to Watch For:
- A lump that feels different from the surrounding tissue.

- Changes in the size or shape of the breast.

- Pain or tenderness in the lump, especially if it persists.

- Any changes in the skin over the breast, such as redness or dimpling.

- Nipple discharge that is bloody or clear, especially if it occurs without squeezing.

When to Seek Help:
You should consult a healthcare provider if you notice any new breast lump or changes in your breast tissue. It is particularly important to seek medical advice if:
- The lump persists for more than a few weeks.

- The lump feels hard or fixed in place.

- You experience significant pain or discomfort.

- There are changes in the skin or nipple discharge.

In your case, you mentioned feeling a hard lump that is sometimes itchy and painful, particularly when pressed. While it’s understandable to be concerned about the possibility of cancer, many breast lumps are benign. However, given your symptoms and the fact that you feel a noticeable change in your breast, it is essential to have this evaluated by a healthcare professional. They may recommend imaging studies such as a mammogram or ultrasound to assess the lump further and determine the appropriate course of action.

In summary, while many breast lumps are benign and related to hormonal changes or benign growths, it is crucial to have any new or unusual lumps evaluated by a healthcare provider. Early detection and diagnosis are key to managing breast health effectively. If you have any concerns, do not hesitate to reach out to a healthcare professional for a thorough examination and peace of mind.

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