Breast pain
Hello Dr.
Wu: Six months ago, I discovered a lump in my left breast and consulted a doctor.
The doctor said it was a fibroma and that it was nothing to worry about.
However, in the past few days, I have noticed slight pain in my left breast, and the left side of my body feels mildly numb and slightly painful.
I am unsure if this is related to the lump.
QQ, 30~39 year old female. Ask Date: 2004/06/11
Dr. Wu Jingtang reply Breast and Thyroid
Hello: There are many causes of breast pain, including fibrocystic changes, intercostal neuralgia, and myofascial inflammation, among others.
Generally, symptomatic treatment is sufficient when pain occurs.
However, the mild numbness and slight pain you described on the left side of your body are rarely associated with a breast lump.
If necessary, it is advisable to consult a neurologist or neurosurgeon for a more thorough examination.
Sincerely, Dr.
Wu Ching-Tang, Department of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/06/11
More Info
Breast pain, or mastalgia, is a common concern among women and can arise from various causes, including hormonal changes, structural abnormalities, and even psychological factors. In your case, you have been diagnosed with a fibroadenoma, which is a benign tumor of the breast. Understanding the relationship between fibroadenomas and breast pain is essential for addressing your concerns.
Fibroadenomas are typically painless, firm, and mobile lumps in the breast tissue. They are most common in younger women and are often discovered during self-examinations or routine screenings. While fibroadenomas themselves are not usually associated with pain, there are several factors that could explain the discomfort you are experiencing.
1. Hormonal Fluctuations: Breast tissue is sensitive to hormonal changes, particularly estrogen and progesterone, which fluctuate during the menstrual cycle. Many women experience breast tenderness or pain in relation to their menstrual cycle, especially in the days leading up to menstruation. If your pain coincides with your cycle, it could be related to these hormonal changes rather than the fibroadenoma itself.
2. Fibrocystic Changes: Some women experience fibrocystic breast changes, which can cause lumpiness and tenderness in the breast tissue. This condition is often exacerbated by hormonal fluctuations and can lead to discomfort. If you have fibrocystic changes in addition to a fibroadenoma, this could explain your symptoms.
3. Nerve Sensitivity: The presence of a fibroadenoma may lead to increased sensitivity in the surrounding breast tissue. This can result in discomfort or pain, particularly if the fibroadenoma is pressing against nerves or other structures in the breast.
4. Referred Pain: The sensation of pain can sometimes be referred from other areas of the body. For example, if you are experiencing discomfort in your left breast and also have sensations of numbness or pain in your left side, it may be worth considering other potential causes, such as musculoskeletal issues or nerve compression.
5. Psychological Factors: Anxiety and stress can also manifest as physical symptoms, including breast pain. If you are particularly worried about your health or the presence of a fibroadenoma, this could contribute to your perception of pain.
Given your description of the pain being localized to the left breast and accompanied by sensations in the left side of your body, it is advisable to consult with your healthcare provider. They may recommend further evaluation, such as imaging studies (ultrasound or mammography), to ensure that there are no other underlying issues contributing to your symptoms.
In summary, while fibroadenomas are generally not painful, various factors, including hormonal changes, fibrocystic changes, nerve sensitivity, referred pain, and psychological factors, can contribute to breast discomfort. It is essential to maintain regular check-ups and communicate any changes in your symptoms to your healthcare provider for appropriate management and reassurance.
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