Is It a Tumor? Lumps and Breast Pain Concerns - Oncology

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Is it a tumor?


Doctor: I have a small lump on my thigh (located in the indentation between my thigh and waist).
It's about the size of a green bean! It hurts when I press on it.
Could this be a tumor? Which department should I visit for an examination at the hospital? I'm located in Kaohsiung.
Which hospital do you recommend? Additionally, I have a retracted nipple, and sometimes I experience sudden chest pain.
Does this increase my risk of breast cancer? If I want to have surgery, is that possible? Please help me with these questions.
Thank you, Doctor.

YACO, 20~29 year old female. Ask Date: 2005/03/09

Dr. Fan Sheng reply Oncology


A small lump about the size of a mung bean is generally not a major concern.
If it continues to grow, consider consulting a hematologist at Kaohsiung Medical University Hospital.
Regarding the inverted nipple, given your age, it does not appear to be a sign of breast cancer.
If you wish to have surgery for the inverted nipple, you should consult a plastic surgeon.
Thank you.

Reply Date: 2005/03/09

More Info


When it comes to concerns about lumps, breast pain, and potential tumors, it's essential to approach the situation with a clear understanding of the medical context. Based on your description, you have a small lump on your thigh and are experiencing breast-related symptoms, including nipple inversion and occasional breast pain.
Firstly, regarding the lump on your thigh, it is crucial to have it evaluated by a healthcare professional. The lump's size, location, and tenderness upon palpation can provide clues, but only a thorough examination and possibly imaging studies (like an ultrasound) can determine its nature. In general, lumps can be benign (like lipomas or cysts) or malignant (tumors), and the characteristics of the lump will guide the diagnosis. You should consider visiting a general surgeon or an orthopedic specialist, as they are well-equipped to assess soft tissue lumps. In Kaohsiung, you could visit hospitals like Kaohsiung Medical University Hospital or E-Da Hospital, which have good reputations for surgical evaluations.

Now, regarding your breast symptoms, nipple inversion can be a normal anatomical variation, but if it is a new development, it warrants further investigation. Breast pain, or mastalgia, can arise from various causes, including hormonal fluctuations, fibrocystic changes, or even benign tumors like fibroadenomas. While breast cancer is a concern for many, it is important to note that most breast pain is not associated with cancer. In fact, breast cancer typically presents as a painless lump, although there are exceptions.

Your concern about the potential for breast cancer, especially given your family history, is valid. Family history can increase your risk, but it is not the sole factor. Regular screenings, such as mammograms and clinical breast exams, are crucial for early detection, especially if you have risk factors. If you are experiencing persistent breast pain, it is advisable to consult a breast specialist or a gynecologist who can perform a clinical examination and recommend appropriate imaging studies, such as a mammogram or ultrasound.

If you are considering surgery for either the lump on your thigh or any breast-related issues, it is essential to have a comprehensive evaluation first. Surgery may be indicated if the lump is found to be problematic or if there are concerns about malignancy. However, the decision for surgery should be made collaboratively with your healthcare provider based on the results of your evaluations.

In summary, while both your thigh lump and breast symptoms are concerning, they require thorough evaluation by medical professionals. Do not hesitate to seek medical advice, as early intervention can lead to better outcomes. Remember to keep track of any changes in your symptoms and communicate them to your healthcare provider, as this information can be crucial for diagnosis and treatment planning.

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