Small Tumors: Are They Signs of Breast Cancer? - Surgery

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Small tumor


Hello doctor, there is a round hard mass about 1 cm in size located approximately 4 cm above my left nipple.
I can feel it, but it is not painful.
Could this be a tumor? Is it a sign of breast cancer? I would greatly appreciate your help in addressing my concerns.
Thank you!

Xiao Hua, 20~29 year old female. Ask Date: 2004/10/19

Dr. Lin Kecheng reply Surgery


Hello Miss Xiaohua: A young woman with a one-centimeter hard mass in her breast that is not painful most likely has a fibroepithelial tumor or a breast cyst, as both are benign tumors.
However, if this occurs around the time of menstruation, it could also be due to glandular swelling.
The most accurate time for examination is five days after menstruation when hormonal influence is minimal.
I recommend that you visit a hospital's breast surgery or general surgery department, where a physician can perform an ultrasound examination to provide immediate results; it is unlikely to be breast cancer.
Young women should avoid smoking and limit high-calorie, high-fat diets to reduce the risk of breast cancer.
Wishing you good health.

Reply Date: 2004/10/19

More Info


When it comes to breast health, finding a lump or a hard mass can understandably cause concern, especially regarding the possibility of breast cancer. In your case, you mentioned that you have a round, firm mass located about 4 centimeters from your left nipple, measuring approximately 1 centimeter in size. It is important to approach this situation with a clear understanding of what these findings might indicate.

Firstly, not all lumps or masses in the breast are indicative of cancer. Many benign (non-cancerous) conditions can present as lumps, including cysts, fibroadenomas, and other types of benign breast tissue changes. The fact that you describe the mass as firm and not painful is noteworthy, as many benign lumps are also painless. However, the absence of pain does not rule out the possibility of malignancy.

Breast cancer can present in various forms, and while some tumors may be painful, many are not. The key factors that typically raise suspicion for breast cancer include changes in the skin over the breast, such as dimpling or puckering, changes in the shape or size of the breast, discharge from the nipple, or a lump that feels hard and immovable. In your case, since you have not reported any of these additional symptoms, it is reassuring, but it does not eliminate the need for further evaluation.

Given that you have a palpable mass, it is crucial to seek a thorough evaluation from a healthcare professional. This typically involves imaging studies such as a mammogram or ultrasound, which can help determine the characteristics of the mass. If the imaging studies suggest that the lump could be suspicious, a biopsy may be recommended to obtain tissue samples for pathological examination. This is the definitive way to determine whether the mass is benign or malignant.

In terms of risk factors for breast cancer, it is essential to consider personal and family history, age, genetic predispositions (such as BRCA mutations), and lifestyle factors. If you have a family history of breast cancer or other risk factors, it may warrant closer monitoring and possibly more aggressive diagnostic measures.

It is also important to remember that breast cancer is not solely defined by the presence of a lump. Regular breast self-exams and routine screenings are vital for early detection. If you notice any changes in your breast, such as new lumps, changes in skin texture, or discharge from the nipple, these should be reported to your healthcare provider promptly.

In conclusion, while the presence of a lump in your breast can be concerning, it does not automatically indicate breast cancer. The best course of action is to consult with a healthcare professional who can perform the necessary evaluations and guide you through the next steps. Early detection and diagnosis are key in managing breast health effectively, so do not hesitate to seek medical advice.

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