Normal Breast Self-Examination Findings at Age 27

Regarding self-examination of the breasts?

Hello, Dr.
Yuan.
I am 27 years old and recently started learning how to perform self-examinations of my breasts.
I noticed that on my right breast, near the lower edge of the areola, sometimes when I gently press that area, it feels like I'm pressing on bubble wrap, but with a slightly crisper sensation, similar to the texture of chicken cartilage.
I'm concerned about the possibility of a tumor.
When I apply light pressure, I feel that sensation, but when I press harder and slide my fingers over the area, that feeling disappears.
There are no lumps or round shapes; it only feels that way with light pressure, and there are no hard masses when I apply firm pressure and slide my fingers.
I have an A cup size, so there isn't much breast tissue, and my ribs are quite prominent.
Is it normal to feel this kind of texture during a self-examination? Additionally, I can feel a crescent-shaped muscle at the lower edge of both breasts, right above the next rib, which feels firm.
Is that also normal?
Furthermore, I would like to ask about the definition of a "lump." Is a lump defined as a hard, non-movable round shape indicative of breast cancer? I've seen online videos that mention lumps but don't clarify what exactly constitutes a lump.
Could you please help clarify these concerns for me? Thank you.

Tiwenren, 20~29 year old female. Ask Date: 2022/05/20

Dr. Yuan Tianmin reply Breast and Thyroid

You don't need to be too anxious; just go to a breast specialty clinic for a breast ultrasound, and it will provide clarity.

Reply Date: 2022/05/20

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your breast self-examination findings. It’s commendable that you are taking the initiative to learn about your body and perform self-examinations. Understanding what is normal and what might be a cause for concern is crucial for maintaining breast health.

From your description, it sounds like you are experiencing sensations that are not uncommon during breast self-examination. The feeling you describe as similar to "popping bubble wrap" or "chicken cartilage" could be related to normal breast tissue variations. Breast tissue can be quite heterogeneous, especially in younger women, and can include areas of firmer tissue, glandular tissue, and even small cysts. The fact that you do not feel any hard lumps or masses when applying more pressure is a positive sign.
When performing a self-examination, it is important to be familiar with the normal texture of your breasts. Normal breast tissue can feel lumpy or bumpy due to the presence of glandular tissue and fibrous tissue. The "hard" feeling you mention at the lower edge of your breasts, particularly if it feels like muscle or is located over the ribs, is likely normal anatomical structures, such as the pectoral muscle or rib cage, rather than a sign of malignancy.

Regarding your question about what constitutes a "hard lump," in the context of breast cancer, a hard lump is typically described as a mass that feels distinctly different from the surrounding tissue. It may feel like a firm, immovable ball that does not change shape or position when pressed. These lumps are often irregular in shape and can be associated with other symptoms, such as changes in the skin over the breast, nipple discharge, or changes in the size or shape of the breast.
It is also important to note that breast cancer can present in various ways, and not all lumps are cancerous. Many benign conditions, such as fibrocystic changes, fibroadenomas, or cysts, can also present as lumps. The key is to monitor any changes in your breasts and report them to your healthcare provider.

If you continue to feel uncertain or if you notice any new changes, such as a persistent lump, changes in the skin, or any unusual discharge from the nipple, it is advisable to consult with a healthcare professional. They may recommend a clinical breast examination or imaging studies, such as a mammogram or ultrasound, to further evaluate any areas of concern.

In summary, the sensations you are experiencing during your self-examination do not appear to be alarming based on your description. However, maintaining regular self-examinations and being aware of your body is essential. If you have any doubts or if anything changes, do not hesitate to seek medical advice. Regular screenings and consultations with your healthcare provider are key components of breast health.

Best wishes for your health and well-being!

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