Breast Issues: Causes and Treatment Options for Women - Surgery

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Breast issues can be concerning, especially when they involve changes in the breast tissue, such as lumps, pain, or discharge. Based on your description, it sounds like you are experiencing a few different symptoms that warrant further investigation.
Firstly, the lump you mentioned that is approximately 0.5 cm in diameter and produces pus when squeezed could potentially be a sebaceous cyst or an infected gland, such as a mammary duct infection (also known as periductal mastitis). These conditions are often related to blocked ducts or hair follicles in the breast tissue, which can become inflamed or infected, especially if there is excessive sweating or irritation from clothing. Given that you mentioned wearing inexpensive bras, it’s possible that the material may not be breathable, leading to irritation and potential infection.

The history of severe breast pain you experienced two years ago could be related to hormonal changes, particularly if they coincided with your menstrual cycle. Hormonal fluctuations can cause breast tissue to become more sensitive and can lead to cyclical breast pain, known as mastalgia. However, the fact that you have had persistent pain in your back and chest, along with the recent development of a lump, suggests that it would be prudent to seek further medical evaluation.

Regarding your concerns about breast cancer, while it’s understandable to be worried, not all lumps in the breast are cancerous. Breast cancer typically presents as a hard, irregular lump, but infections or cysts can also cause lumps that may feel similar. The presence of pus is more indicative of an infection rather than a malignancy. However, it is crucial to have any new or unusual breast changes evaluated by a healthcare professional.

In terms of treatment, if the lump is indeed an infection, your doctor may prescribe antibiotics to help clear it up. Over-the-counter topical antibiotics may also be beneficial, but it’s best to consult with a healthcare provider before starting any treatment. They may also recommend warm compresses to help alleviate discomfort and promote drainage if the lump is an abscess.

Additionally, if you are experiencing persistent pain or if the lump does not resolve with treatment, further imaging studies such as a mammogram or ultrasound may be necessary to rule out any serious conditions.
In summary, while your symptoms may not necessarily indicate breast cancer, it is essential to consult with a healthcare provider for a thorough examination and appropriate diagnostic tests. They can provide you with a definitive diagnosis and treatment plan tailored to your specific situation. Remember, early detection and intervention are key to managing any breast health issues effectively.