Breast Symptoms: Should You Worry About Cancer Risk?

Possibility of breast cancer

A few days ago, while being intimate with my boyfriend, he mentioned that he felt a lump below my left nipple (specifically, below the areola).
Upon reflecting on this, I realized that I have been experiencing frequent pain in my left nipple recently.
I also noticed a discharge that appears white to the naked eye, but when wiped with a cotton swab, it shows a yellowish liquid.
This discharge does not come out on its own; it requires manual squeezing to express it.
Additionally, I have been experiencing persistent tenderness in both breasts, with the left side being more pronounced.
Over the past few days, I have observed that the lump seems to have decreased in size compared to when it was first detected, but I am still very concerned about the possibility of breast cancer.
I have decided to seek medical attention, but I would like to know what these symptoms might indicate to prepare myself mentally.
My family does not have a history of breast cancer, I started menstruating relatively late, I do not have any harmful habits, my BMI is within the normal range, I am 21 years old, and my family diet is quite normal with no fast food.
What is the likelihood that I have breast cancer?

Ms. Chen, 20~29 year old female. Ask Date: 2020/12/21

Dr. Yuan Tianmin reply Breast and Thyroid

For young women, I wouldn't prioritize breast cancer as a primary concern; rather, infectious cysts are more likely.
I would recommend that you visit a dermatologist or a specialized breast clinic for an examination.

Reply Date: 2020/12/21

More Info

When it comes to breast symptoms and the potential risk of breast cancer, it's important to approach the situation with both caution and informed understanding. Based on the symptoms you've described, let's break down the concerns and provide some clarity on what they might indicate.

Firstly, the presence of a lump in the breast, especially if it is accompanied by pain or unusual discharge, warrants further investigation. While breast cancer is often associated with a painless lump, it can also present with other symptoms, including tenderness, changes in breast shape or size, and discharge from the nipple. The fact that you have noticed a lump that seems to be changing in size is significant. It’s essential to have this evaluated by a healthcare professional, preferably a breast specialist, who can perform a thorough examination and possibly imaging studies such as a mammogram or ultrasound.

The discharge you mentioned, particularly if it is yellow or white and requires pressure to express, can be related to various conditions. While some benign conditions, such as duct ectasia or fibrocystic changes, can cause similar symptoms, any discharge that is new or unusual should be assessed. In younger individuals, especially those under 30, the likelihood of breast cancer is lower, but it is not impossible. Your age, family history, and lifestyle factors (such as diet and exercise) do play a role in your overall risk.

Regarding the pain you are experiencing, breast pain (mastalgia) is common and can be linked to hormonal changes, particularly in relation to your menstrual cycle. However, persistent or severe pain, especially if localized to one area, should not be ignored. It’s also worth noting that breast tissue can be dense, which can sometimes make it difficult to distinguish between benign and malignant changes through self-examination alone.

In terms of your family history, while having a family history of breast cancer can increase your risk, the absence of such a history does not eliminate the possibility. Genetic factors, lifestyle, and environmental influences all contribute to breast cancer risk.
Given your concerns and the symptoms you are experiencing, it is prudent to seek medical attention as soon as possible. A healthcare provider can perform a clinical breast exam and may recommend imaging studies or a biopsy if necessary. Early detection is key in managing breast health, and addressing any concerns promptly can lead to better outcomes.

In summary, while the symptoms you describe could be indicative of benign conditions, they also warrant a thorough evaluation to rule out breast cancer or other serious issues. It’s essential to listen to your body and seek medical advice to ensure your peace of mind and health. Remember, being proactive about your breast health is crucial, and regular check-ups are an important part of that process.

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