Breast Lumps in Teens: When to Seek Medical Advice

Breast lump

Hello Dr.
Lin,
My 15-year-old daughter informed me yesterday that she has discovered a small hard lump located beneath the areola of her left breast (this lump was not present before).
The lump appears to have a slightly dark green color, and when touched, it feels approximately oval-shaped and horizontal.
Its position is distinct, and it moves with hand movement without causing any pain.
Is this normal? Should we take her to see a general surgeon? Thank you for your response!

Helen, 40~49 year old female. Ask Date: 2005/11/22

Dr. Lin Kecheng reply Surgery

Miss Helen has a hard lump beneath the skin of her areola that moves with the hand and is not painful.
This occurs in a 15-year-old girl and is likely a benign tumor; however, its presence is abnormal.
It is recommended to consult a breast surgeon or a general surgeon for an ultrasound examination.
Wishing you good health.

Reply Date: 2005/11/22

More Info

When it comes to understanding breast lumps in teenagers, it is essential to approach the situation with care and awareness. The presence of a lump in the breast, especially in a 15-year-old girl, can understandably cause concern. However, it is important to note that many breast changes during adolescence are normal due to hormonal fluctuations and breast development.

In your case, the small hard lump located beneath the areola of the left breast, which appears greenish and is movable without causing pain, is likely a benign condition. During puberty, the breast tissue undergoes significant changes, and the development of lumps can occur as the breast tissue matures. These lumps can be due to various reasons, including hormonal changes, fibrocystic changes, or even benign cysts.

However, while many breast lumps in adolescents are benign, it is crucial to monitor any changes closely. Here are some key points to consider:
1. Characteristics of the Lump: The fact that the lump is movable and not painful is a positive sign. Painful lumps or those that are fixed in place may warrant further investigation. The color and texture of the lump can also provide clues, but they are not definitive indicators of whether a lump is benign or malignant.

2. Duration and Changes: If the lump has been present for a short time and has not changed significantly, it may be less concerning. However, if it grows, changes in shape, or becomes painful, it is essential to seek medical advice.

3. Consultation with a Healthcare Provider: It is advisable to consult with a healthcare provider, such as a general surgeon or a breast specialist, for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess the lump further. This is particularly important if there are any changes in the lump's characteristics or if there are additional symptoms.

4. Breast Health Education: It is also beneficial to educate young individuals about breast health. Understanding what is normal for their bodies and recognizing changes can empower them to seek help when necessary. Encourage open communication about any concerns regarding breast health.

5. Follow-Up: Regular follow-up with a healthcare provider can help ensure that any changes in breast tissue are monitored appropriately. If the lump persists or if there are any new symptoms, further evaluation may be necessary.

In summary, while the lump you described may be a normal part of breast development during adolescence, it is always best to err on the side of caution. A consultation with a healthcare provider will provide peace of mind and ensure that any necessary evaluations are conducted. Remember, early detection and intervention are key in managing breast health, regardless of age.

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