Breast Pain: When to Seek Medical Advice After a Tumor Diagnosis - Breast and Thyroid

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Localized tenderness upon palpation of the breast?


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 appointment in May this year, there were no changes.
However, after my menstrual period in mid-August, I accidentally pressed on a certain point in my right breast and noticed some pain (the pain only occurs when pressed, and I don't feel it otherwise).
The painful area is very close to the tumor (I am not exactly sure of the location, but I know the general area).
I would like to ask if I should return to the hospital for an examination or if I can just observe it for now.
Thank you for your response.

Niming, 30~39 year old female. Ask Date: 2021/08/25

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.

Reply Date: 2021/08/25

More Info


Breast pain can be a concerning symptom, especially for individuals with a family history of breast cancer. In your case, since you have a benign tumor in your right breast and have been diligent about regular check-ups, it’s understandable to feel anxious about any new pain you experience. Here’s a comprehensive overview of what you should consider regarding breast pain and when to seek medical advice.


Understanding Breast Pain
Breast pain, or mastalgia, can arise from various causes, including hormonal changes, benign breast conditions, or, in some cases, malignancies. Given that you have a known benign tumor (0.4 cm), it’s essential to differentiate between pain that is typical and pain that may warrant further investigation.

1. Hormonal Influences: Many women experience breast pain related to their menstrual cycle. This pain is often cyclical and can be exacerbated by hormonal fluctuations. If your pain coincides with your menstrual cycle, it may be related to these hormonal changes.

2. Benign Conditions: Conditions such as fibrocystic breast changes, cysts, or benign tumors can cause localized pain. The fact that you have a benign tumor may explain some discomfort, especially if it is near sensitive tissue.

3. Post-Surgical Changes: If you have had previous breast surgeries, changes in the breast tissue can lead to discomfort. Scar tissue or changes in the surrounding tissue can sometimes cause pain, especially with movement or pressure.


When to Seek Medical Advice
Given your situation, here are some guidelines on when to seek further medical evaluation:
- New or Worsening Pain: If the pain is new, persistent, or worsening, it’s advisable to consult your healthcare provider. Even if the pain is only present with pressure, it’s important to have it evaluated, especially since it is near the site of a known tumor.

- Changes in the Tumor: If you notice any changes in the size, shape, or texture of the tumor, or if you feel new lumps in the breast, these are significant reasons to seek medical advice.

- Associated Symptoms: If you experience other symptoms such as swelling, redness, or discharge from the nipple, these could indicate a need for further investigation.

- Family History: Given your sister’s history of breast cancer, it’s prudent to be vigilant about any changes in your breast health. Regular screenings and consultations with a breast specialist are essential.


Recommendations
1. Follow-Up Appointment: It would be wise to schedule a follow-up appointment with your healthcare provider or a breast specialist. They may recommend imaging studies, such as an ultrasound or mammogram, to assess the area of concern.

2. Self-Examination: Continue performing regular breast self-exams. Familiarize yourself with the normal texture and feel of your breasts so that you can more easily detect any changes.

3. Maintain Regular Check-Ups: Since you have been advised to have annual follow-ups, ensure you keep these appointments. Regular monitoring is crucial for early detection of any changes.

4. Lifestyle Considerations: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption, can contribute to overall breast health.

In conclusion, while breast pain can often be benign, your history and the proximity of the pain to a known tumor warrant a cautious approach. It’s always better to err on the side of caution and consult with your healthcare provider to ensure that any potential issues are addressed promptly. Regular monitoring and open communication with your healthcare team are key to managing your breast health effectively.

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