Breast Lumps: When to Seek Further Medical Advice

Breast lump

Hello Doctor: I am unmarried and have no history of pregnancy.
In 2017, I was diagnosed with a condition similar to fibrocystic breast disease, with two cysts on the left side, the largest measuring 1.8 cm.
At that time, the doctor recommended a follow-up in six months.
In 2018, the follow-up showed no growth, but the left cyst had increased to 1.87 cm.
During my examination last year in 2019, there was no change on the left side, but a new cyst appeared on the right side.
Throughout this period, I have been very mindful of my diet and exercise, maintaining a regular lifestyle.
Since I am vegetarian, I do not consume meat.
The doctor advised me to limit soy milk intake and emphasized the importance of exercise, which I have adhered to.

In November of this year, during my menstrual period, I felt a noticeable cyst on the left side and wondered if it had grown.
Additionally, during my menstrual cycle, I experience a type of inflammatory pain in the left breast, primarily in the upper left quadrant.
The pain can be sharp at times, but it also varies, sometimes being absent.
Initially, I thought it might be related to my menstrual cycle, so after it ended, I consulted a new doctor.
The largest cyst remained unchanged, but I had developed an additional 4 to 5 cysts, with sizes up to 7.8 cm.
However, during the examination of the upper left quadrant of my left breast, nothing significant was found.

The issue is that even after my menstrual period ended, I continue to experience sharp pain.
Although I also have pain during ovulation, recently, pressing on that area can cause significant sharp pain, while at other times it feels tolerable.
The pain is generally located in the upper left quadrant of the left nipple.
I have always been aware of pain on both sides of my breasts, but this time it feels like a specific area is inflamed.
The doctor mentioned that nothing was detected, but I am worried that something might have been overlooked.
There is a lot of information online stating that non-menstrual breast pain should be taken seriously, which makes me anxious.
Should I seek a third opinion? Thank you.

Xiao Q, 30~39 year old female. Ask Date: 2020/12/07

Dr. Yuan Tianmin reply Breast and Thyroid

Both breasts have benign findings, so there's no need to be overly concerned.
Just follow up with annual monitoring.
Additionally, at the age of 35, these tumors may gradually increase in size, so size is not the main issue; what matters is that the ultrasound images do not show any abnormalities.
While most people experience breast tenderness during menstruation, some individuals may still have pain outside of their menstrual cycle.
As long as you keep up with your annual examinations, there should be no problems.

Reply Date: 2020/12/07

More Info

When it comes to understanding breast lumps and the associated symptoms, it is crucial to approach the situation with a combination of awareness, medical guidance, and personal health management. Based on your description, it seems that you have been experiencing a range of symptoms related to your breast health, including the presence of fibrocystic changes, pain, and the discovery of new lumps.
Firstly, it is important to recognize that breast lumps can be benign (non-cancerous) or malignant (cancerous). Fibrocystic breast changes, which you mentioned, are quite common and often characterized by lumpy, painful breasts, particularly in relation to hormonal fluctuations during the menstrual cycle. These changes can cause discomfort and may lead to the formation of cysts, which are fluid-filled sacs that can vary in size.
Given your history of fibrocystic changes and the recent discovery of additional lumps, it is advisable to seek further medical evaluation. While your previous examinations have not indicated any malignancy, persistent pain, especially if it feels different or more intense than before, warrants a thorough investigation. It is essential to communicate any changes in your symptoms to your healthcare provider, as they can help determine if further imaging studies, such as a mammogram or ultrasound, are necessary.
In your case, the pain localized to the upper left quadrant of your breast, along with the presence of new lumps, could suggest a need for a more detailed assessment. While it is common for breast pain to fluctuate with the menstrual cycle, any pain that persists beyond your cycle or feels different should be evaluated. It is also worth noting that breast pain can sometimes be related to other factors, including hormonal imbalances, inflammation, or even musculoskeletal issues.

If you feel that your concerns are not being adequately addressed by your current healthcare provider, it is entirely reasonable to seek a second or even third opinion. Different physicians may have varying approaches to diagnosis and treatment, and it is important to find a provider with whom you feel comfortable discussing your concerns.
In addition to seeking medical advice, maintaining a healthy lifestyle can also play a role in managing breast health. Regular exercise, a balanced diet, and stress management techniques can contribute to overall well-being and may help alleviate some symptoms. However, these lifestyle changes should complement, not replace, professional medical evaluation and treatment.

Lastly, if you are considering specialized care, look for breast clinics or centers that focus on women's health. These facilities often have a multidisciplinary team that can provide comprehensive care, including imaging, pathology, and surgical options if necessary.
In summary, given your history and current symptoms, it is advisable to seek further medical evaluation. Do not hesitate to advocate for your health and pursue additional opinions if you feel it is necessary. Your health and peace of mind are paramount, and addressing these concerns proactively is the best approach.

Similar Q&A

Understanding Breast Pain: When to Seek Medical Advice After a Tumor Diagnosis

Hello Doctor, since my sister has been diagnosed with breast cancer, I have started to have my breasts checked annually at the hospital. I discovered a 0.4 cm benign tumor in my right breast, and the doctors have recommended monitoring it once a year. During my follow-up appointm...

Dr. Yuan Tianmin reply Breast and Thyroid
If you are already being monitored in a professional clinic, breast pain is usually not a major concern, especially in menstruating individuals, as it is a common phenomenon.

Understanding Breast Lumps: When to Seek Medical Advice

Hello, Dr. Wu! I have a hard lump on my left chest that has been there for three to four years. I have been hesitant to see a doctor because it doesn't hurt, and the lump is movable. Since there haven't been any other unusual symptoms, I haven't gone to see a docto...

Dr. Wu Jingtang reply Breast and Thyroid
Hello: Based on your statement, I recommend that you seek medical attention as soon as possible for your peace of mind. Wishing you good health.

Understanding Breast Lumps: When to Seek Further Medical Advice

Hello Doctor, my mother has hard lumps and swelling on the outer sides of both breasts, which are painful even without any contact. She previously consulted a breast surgeon who recommended only warm compresses. However, the pain has not improved at all. I would like to ask what ...

Dr. Wu Jingtang reply Breast and Thyroid
Dear Xiaxia: You should consider seeing a breast surgeon, and a breast ultrasound may be helpful if necessary! Based on your description, mastitis seems to be the most likely diagnosis. Wishing you a speedy recovery! Sincerely, Dr. Wu Ching-Tang, Attending Surgeon, Taoyuan Hospit...

Understanding Breast Lumps: When to Seek Medical Attention

Thank you, doctor. I will go to the hospital for an examination.

Dr. Wu Jingtang reply Breast and Thyroid
Hello: You're welcome. Wishing you good health.