a Painful Lump Between the Breasts: When to Seek Help - Family Medicine

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A small protrusion has developed below the chest?


Hello Doctor,
Patient: Female, approximately 22 years old, height: 160 cm, weight: 43 kg.
Last month, a protrusion appeared between her breasts, which has been growing larger, reaching a maximum diameter of about 1.5 cm and a height of about 1 cm.
It is painful when pressed.
After a couple of days, it spontaneously reduced in size by about 0.5 cm, and it can only be felt upon careful examination.
Pressing it still causes pain.
Now, after almost a month, it has stabilized at around 0.5 cm.
Could this be a sign of a tumor? If medical attention is needed, which specialty should she consult? Thank you for your guidance!

Ming, 20~29 year old female. Ask Date: 2006/02/19

Dr. Zhan Deqin reply Family Medicine


You should first see a general surgeon; it shouldn't be a major issue.

Reply Date: 2006/02/19

More Info


When it comes to a painful lump located between the breasts, especially in a young woman like yourself, it is essential to approach the situation with caution and awareness. The fact that you have noticed a lump that has changed in size and is painful upon palpation raises some important considerations.

Firstly, it is crucial to understand that not all lumps in the breast area are indicative of cancer or serious conditions. Many benign (non-cancerous) conditions can cause lumps, including cysts, fibroadenomas, or even localized infections. Given your age and the nature of the lump, it is more likely to be benign, but it is still essential to have it evaluated by a healthcare professional.

The fluctuation in the size of the lump, as you described, could suggest that it is a cyst, which can change in size due to hormonal fluctuations, particularly if you are near your menstrual cycle. Cysts are fluid-filled sacs that can develop in the breast tissue and are often benign. However, the pain associated with the lump is something that should not be ignored, as it could indicate inflammation or irritation in the surrounding tissue.

In terms of when to seek help, you should definitely consider consulting a healthcare provider if:
1. The lump persists for more than a few weeks without improvement.

2. The lump continues to grow or changes in shape or texture.

3. You experience additional symptoms, such as changes in the skin over the lump (redness, warmth, or dimpling), discharge from the nipple, or significant pain that interferes with daily activities.

For your specific case, I recommend that you schedule an appointment with a healthcare provider who specializes in breast health. This could be a primary care physician, a gynecologist, or a breast specialist. They will be able to perform a physical examination and may recommend imaging studies, such as an ultrasound or mammogram, to further evaluate the lump.

In addition to seeking medical advice, it is also important to monitor your body for any changes. Keeping a record of any new symptoms, changes in the lump, or other health concerns can be helpful for your healthcare provider in making an accurate diagnosis.

Lastly, while it is natural to feel anxious about the possibility of a tumor, try to remain calm and remember that many breast lumps are benign. Early evaluation and intervention are key to addressing any potential issues effectively. Your health is important, and taking proactive steps to understand and address your symptoms is the best course of action.

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