a Growing Lump: What to Do About Breast Tumors - Oncology

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I'm not sure what this is or what to do about it?


Hello doctor, I am a sophomore male student.
During the Dragon Boat Festival, I discovered a small movable lump inside my nipple that hurts when pressed.
I initially thought it would gradually go away, but it has been growing larger recently.
What should I do? Is it a fibrocystic lump?

Dan, 10~19 year old female. Ask Date: 2020/07/04

Dr. Chen Sirong reply Oncology


Dan / 17 years old / Male Hello, what should I do? A: Inform your family and see a general surgery outpatient clinic to determine if it is a fibrous cyst.
A: The chances of it being benign are high, but it should still be evaluated by a physician.
Actually, you should relax and not worry about what it is; the doctor will inform you based on their expertise! Wishing you peace and happiness.
Thank you for your letter.
Taoyuan Hospital, Chen Sih-Rong.

Reply Date: 2020/07/04

More Info


When it comes to breast lumps, especially in males, it is essential to approach the situation with caution and seek medical advice. The lump you described, which is movable and painful when pressed, could be indicative of several conditions, including a fibrocystic change, a benign tumor, or even something that requires further investigation.
Firstly, it’s important to understand what a breast lump could signify. In males, breast tissue is less developed than in females, but it can still experience various changes. Common benign conditions include gynecomastia (enlargement of breast tissue), fibroadenomas (solid benign tumors), and cysts (fluid-filled sacs). Fibrocystic changes, which are more common in females, can also occur in males, leading to the development of lumps that may fluctuate in size and tenderness due to hormonal changes.

Given that you are experiencing growth in the lump, it is crucial to consult a healthcare professional, preferably a breast specialist or an endocrinologist. They will likely perform a physical examination and may recommend imaging studies such as an ultrasound or mammogram to assess the characteristics of the lump. In some cases, a biopsy may be necessary to determine the nature of the lump definitively.

Pain associated with a lump can sometimes indicate inflammation or irritation, but it does not necessarily mean that the lump is malignant (cancerous). However, any change in size, shape, or discomfort should be taken seriously. The fact that the lump is growing is a signal that warrants further evaluation.
In terms of what to do next, here are some steps you should consider:
1. Schedule an Appointment: Make an appointment with a healthcare provider as soon as possible. Explain your symptoms clearly, including the size of the lump, any changes over time, and the pain you are experiencing.

2. Prepare for Your Visit: Write down any questions or concerns you have before your appointment. This can help ensure you cover all your concerns during the consultation.

3. Follow Medical Advice: If your doctor recommends imaging or a biopsy, it’s essential to follow through with those recommendations. Early detection and diagnosis are key to managing any potential issues effectively.

4. Monitor Changes: Keep track of any changes in the lump, such as size, shape, or pain level, and report these to your doctor during follow-up visits.

5. Educate Yourself: Understanding breast health and the conditions that can affect breast tissue can empower you to make informed decisions about your health.
In conclusion, while many breast lumps in males are benign, the growth of a lump, especially one that is painful, should not be ignored. Prompt medical evaluation is crucial to rule out any serious conditions and to determine the appropriate course of action. Remember, early intervention can lead to better outcomes, so don’t hesitate to seek help.

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