Breast Tissue Pain: Is It a Sign of Breast Cancer?

Pressing on the tissue inside the breast may cause sharp pain?

Hello doctor, I have noticed that the tissue in my right breast is painful when pressed, and even without pressure, I occasionally experience sharp pain.
Additionally, it seems that the lymph nodes near the edge of my chest close to the armpit are slightly swollen and occasionally cause a dull ache.
My right breast appears to be slightly larger than my left, but I cannot feel any lumps, and the pain is non-cyclical.
Could this condition be breast cancer? Thank you.

Nì míng, 30~39 year old female. Ask Date: 2022/04/22

Dr. Yuan Tianmin reply Breast and Thyroid

My suggestion is to get a breast ultrasound.
If the ultrasound does not reveal any issues, it is likely due to pain caused by the menstrual cycle.

Reply Date: 2022/04/22

More Info

Breast tissue pain can be concerning, especially when accompanied by other symptoms such as swelling or changes in breast size. However, it is important to understand that breast pain, or mastalgia, is not commonly associated with breast cancer. In fact, most breast cancers are painless and are often detected as a lump or mass rather than through pain.
In your case, the pain you are experiencing in your right breast, particularly when pressed, along with the occasional sharp pain and the swelling near the lymph nodes in your armpit, warrants further evaluation. While breast pain can be caused by a variety of factors, including hormonal changes, cysts, or benign breast conditions, it is crucial to rule out any serious conditions, including breast cancer.

The fact that you mentioned the pain is non-cyclical (not related to your menstrual cycle) and that you feel a slight difference in size between your breasts could be significant. Breast asymmetry is common and not necessarily a cause for concern, but any noticeable changes in size or shape, especially if accompanied by pain or swelling, should be evaluated by a healthcare professional.

The presence of lymph node swelling near your armpit is also noteworthy. Lymph nodes can become enlarged for various reasons, including infections, inflammation, or malignancies. If the swelling persists or is accompanied by pain, it is essential to seek medical advice. A healthcare provider may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue and lymph nodes further. In some cases, a biopsy may be necessary to determine the nature of any suspicious areas.

It is also important to consider other potential causes of breast pain. Hormonal fluctuations, particularly those related to the menstrual cycle, can lead to breast tenderness and discomfort. Conditions such as fibrocystic breast changes, which involve the development of non-cancerous lumps or cysts, can also cause pain and swelling. Additionally, infections or inflammation of the breast tissue, known as mastitis, can lead to localized pain and swelling.

In summary, while breast pain alone is not typically a sign of breast cancer, the combination of symptoms you are experiencing—pain, swelling near the lymph nodes, and asymmetry—should be evaluated by a healthcare professional. Early detection and diagnosis are crucial for any potential breast condition, and a thorough examination will provide you with the necessary information and peace of mind. If you have not already done so, I encourage you to schedule an appointment with a breast specialist or your primary care physician to discuss your symptoms and undergo any recommended tests. Your health and well-being are of utmost importance, and addressing these concerns promptly is the best course of action.

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