There is a small hard lump just below the left nipple?
Hello Doctor, I recently noticed a small hard lump just below my left nipple, like a tiny ball under the skin.
I can't squeeze it out with my fingers, and it only hurts a bit when I press hard on it.
I don't feel it normally.
Could this possibly be breast cancer?
Kaohsiung Kid, 20~29 year old female. Ask Date: 2022/07/11
Dr. Hu Ziren reply Oncology
The incidence of male breast cancer is extremely low.
If the size exceeds 1-3 centimeters, it is recommended to consult a general surgeon.
Reply Date: 2022/07/11
More Info
Finding a small hard lump near your nipple can understandably cause concern, especially when considering the possibility of breast cancer. However, it's important to approach this situation with a balanced perspective and an understanding of the various factors involved.
First and foremost, the presence of a lump in the breast does not automatically indicate breast cancer. Many breast lumps are benign (non-cancerous) and can be attributed to a variety of conditions, such as fibrocystic changes, fibroadenomas, or even normal glandular tissue. In younger individuals, particularly those under 30, the likelihood of breast cancer is significantly lower. The majority of breast lumps in this age group are benign.
The characteristics of the lump you described—being small, hard, and painful only when pressed—are not uncommon in benign conditions. For instance, a fibroadenoma is a common benign tumor that can feel like a small, firm lump and may be tender to touch. Additionally, hormonal fluctuations related to your menstrual cycle can cause breast tissue to become lumpy or tender, which is often referred to as fibrocystic breast changes.
It's also worth noting that breast cancer typically presents with certain warning signs, such as a lump that is hard, irregular in shape, and does not move easily. Other symptoms may include changes in the skin over the breast, such as dimpling or puckering, discharge from the nipple (especially if it is bloody or clear), or a change in the size or shape of the breast. If the lump you are feeling does not exhibit these characteristics, the likelihood of it being cancerous is reduced.
However, the best course of action is to consult a healthcare professional for a thorough evaluation. A doctor may recommend imaging tests, such as a mammogram or ultrasound, to further assess the lump. In some cases, a biopsy may be necessary to determine the nature of the lump definitively. Early detection and diagnosis are crucial, so it is essential not to delay seeking medical advice.
Regarding your specific situation, if you have any additional symptoms such as persistent pain, changes in the appearance of your breast, or if the lump changes in size or shape, these are important factors to discuss with your doctor. They can provide a more comprehensive assessment based on your medical history, physical examination, and any necessary imaging studies.
In summary, while a small hard lump near your nipple can be concerning, it is not necessarily indicative of breast cancer, especially in younger individuals. The best approach is to seek medical advice for a proper evaluation and peace of mind. Remember, early intervention is key in managing any potential health issues, and a healthcare professional can guide you through the next steps.
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