Breast Lumps: Causes, Symptoms, and Care Tips

There is a lump in the breast?

Hello Doctor, I have noticed hard lumps in both of my breasts.
The lump on the right side is located in the lower right quadrant, and the lump on the left side is in the upper right quadrant.
I had an examination three years ago, and a doctor in Taichung said it was hyperplasia of the breast tissue, which could be excised or left untreated.
Recently, I have been experiencing itching around my nipples, and they hurt when I touch them.
Is there any correlation with that? Also, what should I be cautious about in terms of diet and lifestyle? If I frequently let my husband kiss my breasts, could that have any impact? I would appreciate your guidance.
Thank you!

Tùzǐ, 20~29 year old female. Ask Date: 2005/02/06

Dr. Lin Kecheng reply Surgery

A young woman has had hard lumps in both breasts for three years, along with itching and pain in the nipples.
It is recommended to have annual follow-up examinations with a general surgeon or a breast surgeon, and to undergo at least one breast ultrasound each year to monitor for any changes in size or characteristics.
This will help determine if a biopsy or fine needle aspiration is necessary to rule out the possibility of breast cancer.
In terms of diet, it is advisable to reduce the intake of high-calorie and high-fat foods, avoid smoking, and develop a habit of self-examination of the breasts after menstruation.
Gentle and non-harmful contact should not have any negative effects.
Wishing you good health.

Reply Date: 2005/02/06

More Info

Understanding breast lumps can be a source of anxiety for many women, especially when accompanied by symptoms such as pain or itching. Based on your description, it seems you have been experiencing breast lumps on both sides, with a history of cellular hyperplasia noted during a previous examination. It's important to understand that breast lumps can arise from various causes, and not all lumps are indicative of cancer.
Causes of Breast Lumps:
1. Fibrocystic Changes: This is a common condition characterized by lumpy, painful breasts due to hormonal fluctuations, particularly during the menstrual cycle. These changes can lead to the formation of cysts or fibrous tissue.

2. Fibroadenomas: These are benign tumors made up of glandular and connective tissue. They are usually painless and can be felt as firm lumps.

3. Infections or Inflammatory Conditions: Conditions such as mastitis can cause lumps and pain, often accompanied by redness and swelling.

4. Breast Cancer: While less common, any new lump, especially if it is hard, irregular, or associated with other symptoms (like discharge or changes in the skin), should be evaluated by a healthcare professional.

Symptoms to Monitor:
- Pain: You mentioned experiencing pain when touching your nipples. This could be related to the lumps or possibly an inflammatory condition.
- Itching: Itching can sometimes be associated with skin conditions or infections, and it’s worth discussing with your doctor.

- Changes in Size or Shape: Any noticeable changes in the lumps or surrounding breast tissue should be reported.

Care Tips:
1. Regular Monitoring: Keep track of any changes in the lumps, including size, shape, and associated symptoms. Regular self-examinations can help you become familiar with your breast tissue.

2. Consult a Specialist: Given your history and current symptoms, it is advisable to consult a breast specialist or a surgeon who can perform a thorough examination and possibly imaging studies (like an ultrasound or mammogram) to assess the lumps further.

3. Avoid Irritation: If you find that certain activities, such as wearing tight clothing or engaging in certain physical activities, exacerbate your symptoms, consider modifying these habits.

4. Diet and Lifestyle: A balanced diet rich in fruits, vegetables, and whole grains can support overall health. Staying hydrated and managing stress through exercise or relaxation techniques can also be beneficial.

5. Sexual Activity: Engaging in intimate activities, such as kissing or fondling, should not inherently affect your breast health. However, if you experience discomfort during these activities, it may be worth discussing with your partner and a healthcare provider.

When to Seek Help:
- If you notice any changes in the lumps, such as increased size, hardness, or if new symptoms develop (like discharge from the nipple or skin changes), it’s crucial to seek medical attention promptly.

- If the pain becomes severe or persistent, or if you have concerns about your breast health, don’t hesitate to reach out to a healthcare professional.

In conclusion, while breast lumps can be concerning, many are benign and manageable. Regular check-ups and open communication with your healthcare provider are key to maintaining breast health. If you have any further questions or concerns, please feel free to ask your doctor for personalized advice.

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