Breast Lumps: Could They Be Fibroadenomas or Cancer? - Breast and Thyroid

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When it comes to breast lumps, it's essential to understand the various possibilities, including benign conditions like fibroadenomas and more serious concerns such as breast cancer. Based on your description of having several lumps in the area between your breasts (the sternum), which are not painful when pressed but have recently increased in size and caused some discomfort, there are several factors to consider.

First, fibroadenomas are common benign tumors that typically occur in younger women. They are usually smooth, movable, and painless, although they can sometimes cause discomfort if they grow or if they are located near sensitive tissue. The fact that you mentioned these lumps feel like "pimples" under the skin and have been persistent for a long time without significant changes is somewhat reassuring, as many benign conditions can present similarly.

However, the recent increase in size and the onset of pain are noteworthy. While pain is not typically associated with breast cancer, it can occur in some cases, particularly if the lump is pressing against surrounding tissues or if there is inflammation. Breast cancer can present as a lump that is hard, irregular in shape, and may be associated with changes in the skin or nipple, but it can also be asymptomatic in the early stages.
Breast cancer can occur in various locations within the breast tissue, including the area near the sternum. It is crucial to monitor any changes in the lumps, such as size, shape, or associated symptoms like skin changes or discharge from the nipple. If you notice any of these changes, it is essential to seek medical evaluation promptly.

In terms of diagnostic steps, a healthcare provider may recommend imaging studies such as a mammogram or ultrasound to assess the characteristics of the lumps. If there is any suspicion of malignancy, a biopsy may be performed to obtain tissue for histological examination. This is the definitive way to determine whether a lump is benign or malignant.

It is also important to consider other potential causes of breast lumps, such as cysts, lipomas (benign fatty tumors), or even infections. Each of these conditions has different implications for treatment and management.
Given your concerns, it is advisable to consult with a healthcare professional, preferably a breast specialist or surgeon, who can perform a thorough examination and recommend appropriate imaging studies. They will be able to provide a more accurate diagnosis based on clinical findings and imaging results.

In summary, while the characteristics of your lumps may suggest they are benign, the recent changes warrant further investigation. Early detection and diagnosis are crucial in managing any breast condition effectively, whether it is benign or malignant. Please ensure you follow up with your healthcare provider for a comprehensive evaluation.