Breast Health: Benign Tumors and Their Risks - Breast and Thyroid

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Regarding the breasts?


My mother was introduced to a private clinic where a body magnetic field examination indicated that I had a malignant tumor in my left breast and fibroids in my uterus.
The examination method involved holding two cylindrical magnetic rods while the practitioner used a pen-like device to touch my palm, which then generated a numerical report on the computer.
I do indeed have uterine fibroids.
I was unsure whether to trust this diagnosis, so I later went to Mackay Memorial Hospital for an ultrasound, which did not reveal any tumors.
A few months later, during a fibroid check at Linkou Chang Gung Memorial Hospital, I underwent another breast ultrasound.
The doctor informed me that there was a lump in my right breast, but it was benign, and I should return for a check-up in a year.

I would like to know if benign tumors can become malignant, and under what circumstances benign tumors require surgical intervention.
Additionally, a few months ago, I developed a skin tumor on my hand.
What type of constitution is prone to tumor formation, and how can I prevent this?

wendy, 30~39 year old female. Ask Date: 2005/04/06

Dr. Xie Wenhuai reply Breast and Thyroid


The accuracy of the new examination method is uncertain.
Breast examinations can be categorized as follows: 1.
Self-examination (regularly) 2.
Breast ultrasound 3.
Mammography 4.
Breast MRI.
Young unmarried women often suffer from benign conditions such as fibroadenomas.
If the size is greater than 2 centimeters, surgical removal should be considered; otherwise, regular monitoring is sufficient.

Reply Date: 2005/04/06

More Info


Understanding breast health, particularly in the context of benign tumors, is crucial for women, especially those with a family history of breast conditions. Your concerns about benign tumors, family history, and the potential for malignancy are valid and deserve thorough exploration.

Firstly, benign tumors in the breast, such as fibroadenomas or cysts, are common and typically do not pose a significant health risk. They are often discovered during routine examinations or imaging studies, such as ultrasounds or mammograms. The fact that your doctor has classified your tumor as benign is reassuring. However, it is essential to understand that while benign tumors are not cancerous, they can sometimes cause discomfort or pain, which you mentioned experiencing. This pain can be attributed to hormonal changes, especially in younger women, and is not uncommon.

Regarding your question about whether benign tumors can become malignant, the general consensus in the medical community is that benign tumors themselves do not transform into cancer. However, certain types of benign conditions, such as atypical hyperplasia, can increase the risk of developing breast cancer in the future. Therefore, regular monitoring and follow-up with your healthcare provider are essential. If a benign tumor grows significantly or causes persistent pain or discomfort, surgical removal may be recommended. This is particularly true if there is uncertainty about the diagnosis or if the tumor's characteristics change over time.

You also mentioned a family history of breast cancer, which is an important factor in assessing your risk. Women with a family history of breast cancer, especially if close relatives were diagnosed at a young age, may have a higher risk of developing breast cancer themselves. Genetic factors, such as mutations in the BRCA1 or BRCA2 genes, can significantly increase this risk. If you have concerns about your family history, discussing genetic counseling with your healthcare provider may be beneficial.

In terms of your skin tumor, it is essential to differentiate between various types of skin growths. Some skin tumors, such as seborrheic keratosis or dermatofibromas, are benign and do not require treatment unless they become bothersome. However, other skin lesions may need further evaluation to rule out malignancy, especially if they change in appearance or cause symptoms.

To address your concerns about prevention, maintaining a healthy lifestyle can play a significant role in reducing the risk of various tumors. This includes a balanced diet rich in fruits, vegetables, and whole grains, regular physical activity, maintaining a healthy weight, and avoiding tobacco and excessive alcohol consumption. Additionally, regular breast self-exams and routine screenings, such as mammograms, are crucial for early detection of any changes in breast tissue.

In conclusion, while benign tumors can be concerning, understanding their nature and the associated risks can help alleviate anxiety. Regular follow-ups with your healthcare provider, awareness of any changes in your body, and a proactive approach to your health can empower you to manage your breast health effectively. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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