Breast Lumps in Young Women: Causes and Concerns - Physical Fitness

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Breast lump?


My daughter, who is eighteen years old, has developed a lump above her left nipple that is the size of a soybean.
It is red, swollen, and painful, and we are unsure of the cause.

Lü, 40~49 year old female. Ask Date: 2005/03/28

Dr. Zheng Shunping reply Physical Fitness


Hello: In response to your question, a breast lump the size of a soybean in an eighteen-year-old, accompanied by redness and swelling, is generally indicative of folliculitis or skin damage.
Treatment typically involves oral medication along with topical ointment, and it usually resolves within three days.
However, it is advisable to have a surgeon confirm the diagnosis for better assurance.

Reply Date: 2005/03/28

More Info


Breast lumps in young women can be a source of concern for both the individual and their family. In your daughter's case, the presence of a lump above the left nipple that is red, swollen, and painful warrants careful consideration.

Common Causes of Breast Lumps in Young Women
1. Fibroadenomas: These are benign tumors that are common in young women, particularly those in their late teens and early twenties. They are usually painless, firm, and can be moved slightly when pressed. However, they can sometimes become tender or swollen, especially around the menstrual cycle.

2. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can vary in size and may feel like a lump. Cysts can also be tender, especially before menstruation.

3. Hormonal Changes: Hormonal fluctuations during the menstrual cycle can lead to breast tenderness and the formation of lumps. This is often due to the effects of estrogen and progesterone on breast tissue.

4. Infections or Inflammatory Conditions: Conditions such as mastitis or abscesses can cause painful lumps in the breast. These are often accompanied by redness, swelling, and warmth in the affected area. Mastitis is more common in breastfeeding women but can occur in others as well.

5. Trauma or Injury: Any recent trauma to the breast area can lead to swelling and the formation of a lump. If your daughter has recently engaged in physical activities that could have caused injury, this might be a contributing factor.


When to Seek Medical Attention
Given that your daughter is experiencing pain, redness, and swelling, it is important to consult a healthcare professional. Here are some reasons to seek medical evaluation:
- Persistent Symptoms: If the lump does not resolve within a few weeks or continues to grow, it should be evaluated.

- Changes in Appearance: Any changes in the skin over the lump, such as increased redness, warmth, or changes in texture, should be assessed.

- Accompanying Symptoms: If there are additional symptoms such as fever, discharge from the nipple, or significant pain, these warrant immediate medical attention.


Diagnostic Approaches
A healthcare provider will likely perform a physical examination and may recommend imaging studies such as an ultrasound or mammogram, depending on the age and specific characteristics of the lump. In some cases, a biopsy may be necessary to determine the nature of the lump.


Conclusion
While many breast lumps in young women are benign and related to hormonal changes, it is crucial to have any new or concerning lumps evaluated by a healthcare professional. Early assessment can provide peace of mind and ensure that any necessary treatment is initiated promptly. Encourage your daughter to be proactive about her breast health and to communicate openly about any changes she notices.

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