Breast Issues: Purple Veins and Lumps in Young Women - Surgery

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Breast issues


I am currently 20 years old and would like to ask about a recent discovery.
I noticed a purple vein on my chest that wasn't there before.
There are no hard lumps in my chest, but I do have a small swollen lump in my armpit that sometimes hurts when pressed, but sometimes it doesn't.
Could this be due to wearing tight bras? I tend to wear them a bit tighter.

Xiao Mi, 20~29 year old female. Ask Date: 2020/07/15

Dr. Yu Mingchang reply Surgery


Please take a moment to review the general surgical examination.

Reply Date: 2020/07/15

More Info


When it comes to breast health, especially in young women, it's essential to understand the various changes that can occur and what they might signify. Your concern about the appearance of purple veins on your breasts and the presence of a small lump in your armpit is valid, and it's good that you're seeking information.

Firstly, the appearance of purple veins on the breasts can be attributed to several factors. As women go through hormonal changes, particularly during puberty, menstruation, or pregnancy, the blood flow to the breast tissue increases. This can make veins more prominent, especially in individuals with lighter skin. Additionally, weight fluctuations, changes in body composition, and even the tightness of clothing can affect how visible these veins are. If the veins are not accompanied by pain, swelling, or other concerning symptoms, they are often considered a normal variation.

Regarding the lump you mentioned in your armpit, this could be a lymph node. Lymph nodes can become enlarged due to various reasons, including infections, inflammation, or even hormonal changes. If the lump is small and only occasionally painful, it may not be a cause for concern. However, if it persists, grows larger, or is accompanied by other symptoms such as fever, night sweats, or unexplained weight loss, it would be prudent to consult a healthcare professional for further evaluation.

You also mentioned that you tend to wear tight-fitting bras. While a well-fitted bra is essential for comfort and support, wearing bras that are too tight can sometimes lead to discomfort or even contribute to the development of lumps due to restricted blood flow or irritation of the breast tissue. It’s advisable to ensure that your bras fit properly and do not cause any discomfort.

In terms of breast health, regular self-examinations are crucial. This involves checking your breasts for any unusual changes, such as lumps, changes in size or shape, or any unusual discharge from the nipples. It’s recommended to perform these self-exams a few days after your menstrual period ends when your breasts are least likely to be swollen or tender.

If you notice any persistent changes or have concerns about the lump or the appearance of your veins, it is essential to seek medical advice. A healthcare provider may recommend imaging tests, such as an ultrasound or mammogram, to assess the breast tissue and lymph nodes more thoroughly. They can also provide guidance on appropriate breast care and address any concerns related to your bra fitting or lifestyle factors that may be contributing to your symptoms.

In summary, while the changes you are experiencing may be normal, especially considering your age and hormonal fluctuations, it is always best to err on the side of caution. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed early on. Remember, your health is paramount, and being proactive about it is the best approach.

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