Breast Lumps: When to Worry and What to Expect

The lifelong relationship between doctors and patients?

A few days ago, I discovered a small movable lump on the right side of my breast.
Today, I went to National Taiwan University Hospital for an examination, and the doctor said it should be benign.
However, he didn't explain it clearly.
When I asked him if there was any danger, he replied, "It's like having a pimple on your face; is that a problem?" Then he went on to examine other patients.
He ordered an ultrasound, which is scheduled for mid-July, and only told me not to worry.
After that, he took a phone call.
Later, he gave me some printed materials to read.
I would like to ask, is it really not urgent? Will it be too late in two months? I feel very disappointed and sad...

Shui Li, 20~29 year old female. Ask Date: 2001/05/26

Dr. Lin Shuilong reply Surgery

Hello, if you are looking for a breast specialist, you should be able to trust their diagnosis.
(1) Generally, the symptoms of breast cancer include: eczema-like skin changes or unusual discharge from the nipple, asymmetry in size or height between the breasts or nipples, retraction of the breast skin, skin ulceration, or peau d'orange (orange peel) appearance of the skin.
(2) The typical age of onset for breast cancer is between 40 and 50 years.
If there is a family history, the likelihood increases.
It is recommended for young women to have a clinical breast examination by a breast specialist every six months to a year, and to undergo breast ultrasound annually.
For women over 40, it is advised to have a mammogram once a year.

Reply Date: 2001/05/26

More Info

When it comes to breast lumps, it’s essential to approach the situation with both caution and understanding. The discovery of a lump in the breast can be alarming, and it’s natural to have concerns about what it might mean for your health. Based on your description, it seems that your doctor has assessed the lump and indicated that it is likely benign, which is reassuring. However, it’s understandable to have lingering questions and anxiety about the situation, especially when waiting for further testing.

Breast lumps can arise from various causes, including cysts, fibroadenomas, and other benign conditions. In many cases, these lumps are not associated with breast cancer. Your doctor’s analogy of the lump being similar to a pimple on your face suggests that he believes it is a common and non-threatening issue. However, it’s crucial to remember that any new breast lump should be evaluated further, as the characteristics of the lump, such as its size, shape, and mobility, can provide important information.

The recommendation for an ultrasound is a standard procedure in evaluating breast lumps. Ultrasound can help determine the nature of the lump—whether it is solid or fluid-filled—and provide additional information that can guide further management. The fact that you have an appointment scheduled for mid-July may feel like a long wait, but it’s important to understand that many benign lumps do not require immediate intervention. Your doctor likely feels that there is no urgent need for concern based on the initial examination.

While waiting for your ultrasound, it’s essential to monitor any changes in the lump or your breast tissue. If you notice any significant changes, such as increased size, pain, or changes in the skin or nipple, you should contact your healthcare provider immediately. It’s also worth noting that breast tissue can be sensitive to hormonal changes, which can sometimes cause lumps to fluctuate in size or tenderness, particularly around the menstrual cycle.

In terms of your concerns about the timeline and potential risks, it’s understandable to feel anxious. However, the majority of breast lumps that are evaluated and found to be benign do not pose a risk to your health. The two-month wait for the ultrasound is not uncommon in many healthcare systems, especially when there are no immediate red flags indicating a need for urgent intervention.
If you are feeling particularly anxious, it may be helpful to reach out to your healthcare provider for reassurance or to discuss your concerns further. They can provide more context about the lump and the reasons for the recommended follow-up. Additionally, consider discussing any symptoms you may be experiencing, as this can help your doctor assess the situation more thoroughly.

In conclusion, while it’s natural to feel worried about a breast lump, the likelihood of it being benign is high, especially given your doctor’s initial assessment. The upcoming ultrasound will provide more clarity, and in the meantime, stay vigilant about any changes and maintain open communication with your healthcare provider. Remember, early detection and regular monitoring are key components of breast health, and you are taking the right steps by seeking medical advice.

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