Breast Lumps: What You Need to Know About Symptoms and Concerns

There is a lump in the left breast?

Hello Dr.
Wu: I have felt a hard lump in my left breast for about 5-6 years, while my right breast is normal.
When I was younger, I didn't understand the situation and didn't see a doctor at that time.
After my menstrual period, I notice tenderness when touching the lump, which does not move, and there is no issue with nipple retraction.
When I squeeze my breast, there is a white discharge, but no blood or watery fluid.
(Both sides have white discharge.
The right nipple is also larger than the left; I wonder if this makes a difference?) Both breasts have hair growth (the hair and discharge have been present for at least 10 years).
This year, I noticed that the hard lump in my left breast seems to be getting larger, about 4 cm in size.
I feel that my left armpit seems slightly swollen compared to the right, and my left arm has been feeling achy lately, although I haven't engaged in any particularly strenuous activities or lifted heavy objects recently.
Could this possibly be breast cancer? If so, could there be lymphatic metastasis causing the achiness in my left arm? (P.S.
There are no cases of breast cancer in my family.) I would greatly appreciate it if you could take the time to answer my questions, as I am really scared.
I have been crying often and having trouble sleeping.
Since I am currently abroad, I don't know how to inquire about such matters, which is why I wanted to consult you first.
Thank you.

Jiexi, 30~39 year old female. Ask Date: 2005/04/01

Dr. Wu Jingtang reply Breast and Thyroid

Dear Miss Jessie,
Your description indeed requires you to bravely consult a physician to determine your condition.
The likelihood of a 30-year-old woman developing breast cancer without a family history is low, and the possibility of a benign breast tumor is quite high.
This is a reason for you not to be overly anxious.
However, it is not an excuse to avoid seeking medical attention.

I understand that accessing healthcare may be inconvenient abroad, but initial evaluations should be manageable.
If you are still concerned, returning to Taiwan for a check-up and to see family and friends might be a good idea.
Remember, health is more important than anything else.
Wishing you peace of mind,
Dr.
Wu

Reply Date: 2005/04/01

More Info

When it comes to breast lumps and associated symptoms, it is crucial to approach the situation with a comprehensive understanding of potential underlying issues. Based on your description, you have been experiencing a hard lump in your left breast for approximately 5-6 years, which has recently increased in size to about 4 cm. Additionally, you mentioned experiencing tenderness after your menstrual cycle, white discharge from both nipples, and a feeling of mild swelling in your left armpit.
First and foremost, it is important to recognize that breast lumps can arise from various causes, including benign conditions such as fibrocystic changes, fibroadenomas, or cysts, as well as more serious conditions like breast cancer. The fact that you have had this lump for several years without significant changes may suggest that it is benign; however, the recent increase in size is a concerning factor that warrants further investigation.

The presence of white discharge from both nipples can also be indicative of hormonal changes or other benign conditions, but it is essential to evaluate this in the context of your overall breast health. The tenderness you experience, particularly in relation to your menstrual cycle, may suggest a hormonal influence, which is common in conditions like fibrocystic breast disease. However, the combination of a growing lump and discharge necessitates a thorough examination by a healthcare professional.

Regarding your concerns about breast cancer, it is important to note that while the absence of family history of breast cancer is a positive factor, it does not eliminate the risk entirely. Breast cancer can occur sporadically in individuals without a family history. The symptoms you describe, including the hard lump, tenderness, and changes in the breast, should be evaluated through appropriate imaging studies such as a mammogram or breast ultrasound, followed by a biopsy if necessary.

The sensation of discomfort in your left arm could potentially be related to lymphatic involvement, especially if there is swelling in the left armpit. Lymph nodes can become enlarged due to various reasons, including infections, benign conditions, or malignancies. It is crucial to address this symptom with your healthcare provider, as they can provide a more accurate assessment based on a physical examination and diagnostic imaging.

In summary, while there are many benign explanations for your symptoms, the recent changes in your breast lump and the presence of discharge warrant a prompt evaluation by a healthcare professional, ideally a breast specialist. They can perform the necessary examinations and tests to determine the nature of the lump and any associated symptoms. It is understandable to feel anxious about these changes, but seeking medical advice is the best course of action to address your concerns and ensure your health and well-being. Remember, early detection and intervention are key in managing any potential breast health issues.

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