Persistent Breast Lumps Since Puberty: What You Need to Know

Q: Persistent Breast Lumps Since Puberty: What You Need to Know

DEAR MISS Hsiao-Meng： It is quite normal for some girls to notice breast lumps during the onset of development. <br>However, if these lumps persist and have a diameter of four centimeters, it is advisable to have them examined by a breast surgeon, as there is a higher likelihood

A breast lump that has persisted since puberty?

Hello, I would like to ask about a situation I experienced.
When I first started developing, I noticed hard lumps in both breasts.
At that time, I heard that it is normal for girls who are just entering puberty to have this condition, and that these lumps would gradually disappear as development completed.
However, I have now passed puberty, and the lumps have not disappeared.
They are painful when pressed, with one lump under each nipple, each approximately four centimeters in diameter, resembling the shape of a breast, but the lumps are about an A cup size while my breasts are a B cup size.
The discharge from my nipples is white, off-white, or light yellow, and the amount is not significant.
This condition has persisted for nine years, and I am very worried it might be breast cancer.
I hope the doctor can provide me with some advice.
Thank you.

Xiao Meng, 20~29 year old female. Ask Date: 2005/08/18

Dr. Wu Jingtang reply Breast and Thyroid

DEAR MISS Hsiao-Meng: It is quite normal for some girls to notice breast lumps during the onset of development.
However, if these lumps persist and have a diameter of four centimeters, it is advisable to have them examined by a breast surgeon, as there is a higher likelihood of a fibroadenoma or other tumors (mostly benign).
Regarding the nipple discharge you mentioned, it does not appear to be indicative of breast cancer based on your description, so you can feel reassured.
It is best to schedule an appointment with a physician for a thorough examination to confirm that there are no issues.
Wishing you good health.
Dr.
Wu

Reply Date: 2005/08/18

More Info

Persistent breast lumps that have been present since puberty can be a source of concern, especially when they continue to persist into adulthood. It’s important to understand that while many breast lumps are benign (non-cancerous), any persistent changes in the breast should be evaluated by a healthcare professional.

During puberty, hormonal changes can lead to the development of breast tissue, which may include the formation of fibrocystic changes or benign lumps such as fibroadenomas. These lumps can sometimes be tender and may fluctuate in size with the menstrual cycle. However, if these lumps persist beyond puberty and are accompanied by pain or discharge, it is essential to seek further evaluation.

In your case, you mentioned that the lumps have been present for nine years and are painful. The fact that they have not resolved and are causing discomfort warrants a thorough examination. The characteristics of the lumps, such as their size (approximately 4 cm) and shape, are also important factors to consider. While the presence of white or yellowish discharge from the nipples can be associated with various conditions, it is not typically a sign of breast cancer. However, it can indicate other issues such as hormonal imbalances or benign conditions.

It is crucial to consult with a healthcare provider, preferably a breast specialist or a general surgeon, who can perform a clinical breast examination and may recommend imaging studies such as a mammogram or ultrasound. These imaging techniques can help differentiate between benign and potentially malignant lesions. In some cases, a biopsy may be necessary to obtain a definitive diagnosis.

Breast cancer is relatively rare in younger individuals, but it is not impossible. Risk factors for breast cancer include family history, genetic predispositions (such as BRCA mutations), and certain lifestyle factors. However, the majority of breast lumps in young women are benign.
In summary, while it is understandable to feel anxious about the possibility of breast cancer, the best course of action is to have the lumps evaluated by a healthcare professional. They can provide a proper diagnosis and discuss potential treatment options if necessary. Early evaluation and intervention are key to addressing any concerns and ensuring peace of mind regarding your breast health. Remember, it is always better to be proactive about your health and seek medical advice when you have concerns.

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