Breast Health: Concerns About Lumps and Changes

Breast issues

My sister is a breast cancer patient.
In September 2020, a right breast ultrasound revealed a 0.3 cm hypoechoic lesion.
In March 2021, follow-up showed that the lesion had increased to 0.6 cm.
There are stretch mark-like lines on the right breast, and there is a dimple near the armpit on the right side.
Both breasts have a small, light brown, raised lesion resembling a mole, with the one on the right being larger than the one on the left.
This lesion has developed in the past few years, as it was not present before.
I would appreciate your insights, doctor.
Thank you.

Jia You, 50~59 year old female. Ask Date: 2022/06/22

Dr. Yuan Tianmin reply Breast and Thyroid

I think it's more accurate to have regular follow-ups with your doctor.

Reply Date: 2022/06/22

More Info

Breast health is a significant concern for many individuals, particularly those with a family history of breast cancer. Your inquiry touches on several important aspects of breast changes, including the presence of lumps, changes in size, and the appearance of new skin features. Given your sister's history as a breast cancer patient, it is understandable that you are vigilant about any changes in your own breast health.

Firstly, the presence of a lump or a change in the breast's texture or appearance can be alarming. In your case, the ultrasound findings of a 0.3 cm black dot that increased to 0.6 cm over a few months warrant careful monitoring. While not all lumps are cancerous, any change in size or characteristics should be evaluated by a healthcare professional. The fact that you have a family history of breast cancer increases your risk, and it is essential to maintain regular check-ups and screenings.

The appearance of stretch marks (often referred to as striae) on the breast can occur due to various reasons, including hormonal changes, weight fluctuations, or pregnancy. These marks are generally benign but can sometimes indicate rapid changes in breast tissue. The indentation near the armpit could also be a sign of changes in the breast tissue or skin, which should be assessed by a healthcare provider.

The presence of a new pigmented lesion, such as a light brown spot that resembles a mole, is another area of concern. Changes in the skin, particularly new growths or changes in existing moles, should be evaluated to rule out any potential malignancy. It is essential to monitor these changes closely and consult with a dermatologist or a breast specialist for a thorough examination.

In terms of breast pain and tenderness, these symptoms can often be linked to hormonal fluctuations, especially in relation to the menstrual cycle. However, persistent pain, especially if localized to a specific area, should not be ignored. Hormonal imbalances can lead to breast tenderness, but they can also be indicative of other underlying conditions that may require further investigation.

Given your sister's history and your current concerns, I recommend the following steps:
1. Regular Screening: Ensure that you are up to date with your mammograms and breast ultrasounds, especially considering your family history. The American Cancer Society recommends that women with a family history of breast cancer discuss their screening options with their healthcare provider.

2. Self-Examinations: Perform regular breast self-exams to familiarize yourself with the normal texture and appearance of your breasts. This will help you notice any changes more readily.

3. Consult a Specialist: Given the changes you've described, it would be prudent to consult with a breast specialist or a surgeon who can perform a clinical breast exam and possibly recommend further imaging or biopsies if necessary.

4. Document Changes: Keep a record of any changes you observe, including the size and characteristics of lumps, changes in skin texture, and any new growths. This information will be valuable for your healthcare provider.

5. Discuss Family History: Make sure to communicate your family history of breast cancer to your healthcare provider, as this may influence your screening schedule and the types of tests recommended.

In conclusion, while many breast changes can be benign, your family history and the specific changes you are experiencing warrant a proactive approach to your breast health. Regular monitoring, self-examinations, and consultations with healthcare professionals are key to ensuring your well-being and addressing any potential concerns early on.

Similar Q&A

Understanding Breast Changes: Concerns About Size, Veins, and Lumps

Hello, I would like to ask some questions regarding breast cancer. I have stretch marks on my breasts, and one side is larger than the other. In high school, I was a D cup, and after attending a junior college, my breasts became an E cup. It feels like they are getting larger. I ...

Dr. Lin Zongzhe reply Oncology
Hello: It is normal to see blood vessels, and the small lump on the breast is more likely to be a benign tumor. It is recommended to consult a physician for a physical examination. Sincerely, Dr. Lin Tsung-Che, Department of Oncology, Taoyuan Hospital, Ministry of Health and Welf...

Understanding Breast Expansion: Causes, Concerns, and Management

Hello Doctor: Last December, after my menstrual cycle, I examined my breasts and found a lump. I later went to the hospital for an examination, where the doctor performed a breast ultrasound and diagnosed me with breast fibrocystic changes. I was advised to have annual check-ups,...

Dr. Wu Jingtang reply Breast and Thyroid
Dear Miss RU: Will breast expansion cause any effects? --> The effects are minimal. You may still experience a sensation of breast pain; is that really okay? --> If there are no suspicious lumps, you can be reassured for now. Regular monitoring is recommended, and pain reli...

Understanding Breast Changes: What Could They Mean for Your Health?

Hello, I recently noticed that the left side of my chest has shown signs of enlargement. When I apply slight pressure, I feel some mild pain around the areola. Using my fingertips, it seems there is a small hard lump under the skin, about the size of a grain of rice. It does not ...

Dr. Yang Mingqi reply Breast and Thyroid
Hello: The probability of men developing breast cancer is approximately 1 in 150 compared to women, but it is not impossible. If you notice any abnormalities in your breast, please promptly visit a hospital to consult a breast surgeon. Given your symptoms, there may be a higher c...

Understanding Fibrocystic Breast Changes: Concerns and Screening Options

Hello, doctor. Recently, I've noticed that many of my female friends have issues with fibrocystic breast changes (benign), and I’ve started to worry whether I might have the same condition. When I shower, I find it difficult to detect any lumps during self-examination. Both ...

Dr. Yuan Tianmin reply Breast and Thyroid
Hello, a fibrocystic cyst is a benign tumor, so there is no need to worry. As for your aunt, who is a breast cancer patient, she can go to the hospital for a health insurance-covered breast ultrasound examination.