Breast Concerns: What to Know About Lumps and Pain

Breast issues

Hello Doctor, I noticed a small lump about 1 to 2 centimeters above the left nipple while showering.
It's less than 1 centimeter in size, and I can feel it when I apply gentle pressure; it seems to be just beneath the skin and can be pinched lightly along with the skin.
Additionally, I've been experiencing slight sharp pain when the nipple is touched or rubbed recently.
My menstrual period is expected soon, but it is a couple of days late.
Could this have any impact? My mother was diagnosed with stage II breast cancer around the age of 40, underwent chemotherapy, and has since recovered and continues to have regular follow-ups.
Could this family history affect me?

Miao Bi, 10~19 year old female. Ask Date: 2023/03/08

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is recommended that you consult a breast surgeon for evaluation.
Thank you! Wishing you safety and good health.
Dr.
Chang.

Reply Date: 2023/03/08

More Info

Breast concerns, including lumps and pain, can be a source of anxiety for many individuals, particularly for those with a family history of breast cancer. In your case, you mentioned discovering a small lump near your left nipple and experiencing some discomfort when it comes into contact with clothing or during bathing. Additionally, you noted that your menstrual period is slightly delayed, and you have a family history of breast cancer, which adds to your concerns.

Firstly, it is important to understand that breast lumps can arise from various causes, and not all lumps are indicative of cancer. Common benign conditions include fibroadenomas, cysts, and fibrocystic changes, which are often related to hormonal fluctuations during the menstrual cycle. These conditions can cause breast tenderness and the formation of lumps that may feel movable or soft to the touch. The fact that you can easily manipulate the lump suggests that it may not be a solid mass, which is often a reassuring sign.

Breast pain, or mastalgia, can also be influenced by hormonal changes, particularly in relation to the menstrual cycle. Many women experience breast tenderness in the days leading up to their period due to increased estrogen and progesterone levels. This pain can vary in intensity and may be more pronounced in certain areas of the breast, such as near the nipple.

Given your family history of breast cancer, it is understandable that you are concerned about any new changes in your breast tissue. While having a family history of breast cancer does increase your risk, it is essential to remember that most breast lumps are benign. However, due to your family history and the new lump you have discovered, it is advisable to seek a professional evaluation.

You should consider scheduling an appointment with a healthcare provider, preferably a breast specialist or a gynecologist, who can perform a thorough clinical examination. They may recommend imaging studies such as a mammogram or breast ultrasound to further evaluate the lump. These imaging techniques can help differentiate between benign and potentially malignant lesions. If necessary, a biopsy may be performed to obtain a definitive diagnosis.

In the meantime, monitor any changes in the lump or your breast pain. If you notice any significant changes, such as an increase in size, changes in shape, or if the pain becomes more severe or persistent, it is crucial to seek medical attention promptly.

Lastly, regarding your delayed menstrual period, stress and anxiety can sometimes affect the menstrual cycle. However, if your period does not arrive soon or if you experience other concerning symptoms, such as unusual discharge or significant changes in breast appearance, it is advisable to consult with your healthcare provider.

In summary, while breast lumps and pain can be concerning, many are benign and related to hormonal changes. Given your family history, it is prudent to seek a professional evaluation to ensure peace of mind and appropriate management. Regular breast self-exams and awareness of your body are essential components of breast health, and staying informed about your family history can help guide your healthcare decisions.

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