Breast Lumps in Teenagers: Causes and Concerns

Lump

Hello, doctor.
I am currently in the second year of high school, but recently I have noticed a hard lump inside my left nipple, which is painful when pressed.
This condition also occurred during my middle school years, but at that time it was present on both sides and eventually disappeared.
I am unsure why it has reappeared now.
Could you please explain what this symptom might be and if it is related to my developmental stage? Thank you.

Ke Ke, 10~19 year old female. Ask Date: 2001/02/13

Dr. Lin Mingxing reply Family Medicine

Hello, during the adolescent growth and development period, hormonal secretion can significantly influence breast pain issues (for example, women often experience breast tenderness during their menstrual period).
Regarding your concern about a hard lump in your nipple, it is important to consider whether you have sought medical consultation or if you are experiencing any noticeable symptoms.
Factors such as whether the size of your breasts is symmetrical, whether there is any discharge from the nipple, and whether there is a family history of breast cancer should all be taken into account to assess your risk for breast cancer.
Generally speaking, both males and females can be affected by breast-related diseases.
If you have not yet consulted a physician, I recommend visiting a large hospital to see a breast surgeon for further evaluation, such as a physical examination or ultrasound, to clarify your concerns.
If a tumor is diagnosed by a physician, whether benign or malignant, it will not disappear on its own unless surgically removed.
However, it is possible for the tumor to shrink after the inflammatory phase, but it will not completely disappear.

Reply Date: 2001/02/13

More Info

Breast lumps in teenagers can be a source of concern, especially when they are accompanied by pain or discomfort. It is important to understand that during adolescence, the body undergoes significant hormonal changes that can affect breast tissue.
In your case, the presence of a hard lump in your left breast, especially if it is painful when pressed, can be attributed to several factors. One common cause of breast lumps in teenagers is the development of fibrocystic changes, which are benign (non-cancerous) changes in the breast tissue. These changes can cause lumps, tenderness, and sometimes pain, particularly in relation to the menstrual cycle. Hormonal fluctuations during this time can lead to the formation of cysts or fibrous tissue, which may explain the hard lump you are feeling.

Another possibility is the presence of a fibroadenoma, which is a benign tumor made up of glandular and connective tissue. Fibroadenomas are common in young women and can feel firm or rubbery. They may also be tender, especially during hormonal changes. The fact that you experienced similar lumps in middle school that later disappeared suggests that these changes are likely related to your breast development and hormonal fluctuations rather than a serious condition.

It is also worth noting that breast tissue can be sensitive and reactive to various stimuli, including physical touch or pressure. If you are experiencing pain when pressing on the lump, it could be due to inflammation or irritation of the surrounding tissue.
While it is common for breast lumps to occur during adolescence, it is essential to monitor any changes. If the lump persists, grows larger, or if you notice any other concerning symptoms (such as changes in the skin over the breast, discharge from the nipple, or significant changes in breast shape), it is advisable to consult a healthcare professional. A doctor may perform a physical examination and, if necessary, imaging studies like an ultrasound to assess the lump further.

In summary, the hard lump you are feeling in your left breast is likely related to the normal changes that occur during puberty and may be benign. However, it is always best to err on the side of caution and seek medical advice if you have any concerns. Regular self-examinations and being aware of your body can help you identify any changes early on. Remember, open communication with a trusted adult or healthcare provider about your concerns is crucial for your peace of mind and health.

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