Breast Lumps in Teens: Causes, Concerns, and Care - Surgery

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Breast lump


I am 15 years old and I have a hard lump behind the areola of my left breast, which seems to be attached to the areola and is approximately the size of the areola's outline.
It is somewhat painful when pressed, but there are no unusual secretions.
The right breast does not have these symptoms.
I saw a doctor over a year ago, and at that time, there were small lumps in both breasts.
The doctor said it was a developmental phenomenon, but now the right side has disappeared while the left side remains and seems to be getting larger.
Please tell me what this could be, and if it might be a sign of breast cancer.
What dietary precautions should I take, and how can I get rid of it? Thank you.

bb, 10~19 year old female. Ask Date: 2001/02/28

Dr. Lin Shuilong reply Surgery


In general, breast cancer is commonly found in individuals with a family history, those who have had breast cancer in the opposite breast, and those with a history of benign tumors, particularly in the outer quarter of the breast.
Regarding the hard lump you described behind the left nipple, which seems to be increasing in size (as malignant tumors tend to grow larger), it is still recommended that you visit a large hospital to consult a breast specialist for further examination to address your concerns.
In terms of diet, it is advisable to avoid high-fat, low-fiber foods such as hamburgers, fries, and ice cream.

Reply Date: 2001/02/28

More Info


Understanding breast lumps in teenagers can be a source of concern, especially when changes occur during a time of significant physical development. At 15 years old, it is common for young women to experience various changes in their breast tissue due to hormonal fluctuations associated with puberty.
The hard lump you describe behind your left areola may be related to normal breast development, which can include the formation of glandular tissue, fibrous tissue, and fat. During puberty, the breast tissue undergoes significant changes, and it is not uncommon for young women to notice lumps or areas of firmness. These lumps can be benign (non-cancerous) and are often related to the normal development of breast tissue.
However, it is essential to monitor any changes in your breasts. If the lump is painful, growing, or accompanied by other symptoms such as unusual discharge, it is advisable to consult a healthcare professional for further evaluation. While breast cancer is rare in teenagers, it is important to rule out any serious conditions. Your previous visit to a doctor, where they indicated that the lumps were part of normal development, is reassuring, but the persistence or growth of a lump warrants a follow-up.

In terms of dietary considerations, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and hormonal balance. Staying hydrated and limiting processed foods and sugars may also be beneficial. While there is no specific diet to "remove" breast lumps, a healthy lifestyle can contribute to overall well-being.

As for managing breast lumps, here are some general recommendations:
1. Regular Monitoring: Keep track of any changes in size, shape, or texture of the lump. If you notice significant changes, seek medical advice.

2. Self-Examinations: Perform regular breast self-exams to become familiar with your breast tissue. This can help you identify any new changes more easily.

3. Consult a Specialist: If you have concerns about the lump, consider seeing a breast specialist or a gynecologist. They may recommend imaging tests such as an ultrasound or mammogram to assess the lump further.

4. Avoiding Irritation: If you experience discomfort, wearing a well-fitted bra can help minimize irritation. Avoid tight clothing that may cause friction against the breast tissue.

5. Stress Management: Stress can impact hormonal balance, so engaging in stress-reducing activities such as exercise, yoga, or meditation may be beneficial.

In conclusion, while breast lumps in teenagers are often benign and related to normal development, it is crucial to remain vigilant and consult a healthcare provider if you have any concerns. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly. Remember, your health is paramount, and seeking advice when in doubt is always the best course of action.

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