Breast Issues: Symptoms, Concerns, and Expert Insights

Breast issues

Hello Dr.
Wu~~~~ ^ ^ I would like to ask you a few questions.
I have seen some people asking about symptoms of breast cancer, and it often includes "erythematous lupus." What does that look like? My right nipple has been discharging some white substance (it can be removed, but it keeps coming back @@!!) and there are lumps in my right breast >” There are also red streaks near both breasts that are not painful, just some marks ˊˋ (could it be from wearing a bra too tightly?) Can wearing a bra incorrectly cause lumps? I am very worried and hope you won't say this is breast cancer!!!!!!!

Xiao Nü Hai, 10~19 year old female. Ask Date: 2006/02/24

Dr. Wu Jingtang reply Breast and Thyroid

DEAR MISS Milkvampire,
Breast cancer and "lupus erythematosus" are two distinct diseases.
The former is a cancer formed by abnormal proliferation of breast tissue, while the latter is an autoimmune disease.
It is rare for both conditions to occur simultaneously.
The white discharge from your right nipple is likely a secretion from the skin; maintaining cleanliness is the most important aspect.
As for the hard lump in your right breast, I recommend monitoring it for any increase in size, increased hardness, or decreased mobility.
If any of these changes occur, please consult a breast surgeon for further evaluation.
If not, regular self-examinations and an annual check-up with a breast surgeon should suffice.

The red lines near both breasts are likely related to your bra.
You may want to adjust your bra and observe any changes.
Wearing a bra incorrectly will not cause malignant tumors, but prolonged improper pressure may lead to the formation of lumps.
There is no need for excessive worry.

Wishing you good health,
Dr.
Wu

Reply Date: 2006/02/24

More Info

Breast issues can be a source of significant concern for many individuals, and understanding the symptoms, potential causes, and when to seek medical advice is crucial. Based on the symptoms you've described, let's break down the various aspects of your concerns.

Symptoms and Their Implications
1. Nipple Discharge: The presence of white discharge from the nipple can be benign or indicative of an underlying condition. Common causes include hormonal changes, particularly related to the menstrual cycle, or conditions like galactorrhea, which can occur due to hormonal imbalances. If the discharge is persistent, especially if it is spontaneous (not related to squeezing), it is advisable to consult a healthcare provider for further evaluation.

2. Breast Lumps: The sensation of hard lumps in the breast can be associated with several conditions, including fibrocystic changes, fibroadenomas, or other benign breast conditions. However, any new or changing lump should be evaluated by a healthcare professional to rule out malignancy, especially if there are accompanying symptoms like changes in the skin or persistent pain.

3. Skin Changes: You mentioned red streaks or marks on the breast. These could be due to various factors, including irritation from clothing, allergic reactions, or even infections. However, if the skin changes are persistent or associated with other symptoms, such as swelling or pain, it is essential to have them assessed by a doctor.

4. Pain and Tenderness: Breast pain, or mastalgia, can be cyclical and related to hormonal fluctuations, particularly in the luteal phase of the menstrual cycle. However, if the pain is localized and severe, it warrants further investigation to rule out any serious conditions.

Concerns about Breast Cancer
Breast cancer can present with various symptoms, but it is essential to note that not all breast pain or discharge indicates cancer. The classic signs of breast cancer include:
- A persistent lump or mass in the breast.

- Changes in the shape or contour of the breast.

- Unexplained changes in the skin, such as dimpling or a "peau d'orange" appearance (orange peel-like texture).

- Nipple retraction or discharge that is bloody or clear and spontaneous.

While your symptoms may be concerning, they do not definitively indicate breast cancer. However, it is always better to err on the side of caution and consult with a healthcare provider for a thorough examination and possibly imaging studies, such as a mammogram or ultrasound, to assess the situation accurately.

Lifestyle Factors
You asked whether wearing the wrong type of bra could contribute to breast lumps or discomfort. Ill-fitting bras can indeed cause irritation and discomfort, leading to skin changes or exacerbating existing conditions. It is advisable to wear a well-fitted bra that provides adequate support without being overly tight.

Recommendations
1. Consult a Healthcare Provider: Given your symptoms, it is crucial to schedule an appointment with a healthcare provider, preferably a breast specialist. They can perform a clinical breast exam and may recommend imaging studies to evaluate the lumps and discharge.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including the nature of the discharge, any changes in the lumps, and any new symptoms that may arise.

3. Self-Examination: Regular breast self-exams can help you become familiar with your breast tissue and identify any changes early. If you notice any new lumps or changes, report them to your healthcare provider.

4. Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help manage hormonal fluctuations and overall breast health.

In conclusion, while your symptoms may be concerning, they are not definitive indicators of breast cancer. However, it is essential to seek medical advice to ensure proper evaluation and peace of mind. Early detection and intervention are key to managing breast health effectively.

Similar Q&A

Understanding Breast Abnormalities: Symptoms and When to Seek Help

Recently, my mother has been experiencing occasional slight bleeding from her nipple, and the frequency seems to be increasing. Sometimes there is mild pain or itching, and there appears to be slight swelling near the axillary region. Could you please tell me what symptoms or con...

Dr. Wu Jingtang reply Breast and Thyroid
Dear Amy: Blood-stained discharge is a condition that requires attention as it may indicate papilloma, injury, malignant tumor, or other issues. It is recommended to consult a general surgeon or a breast surgeon for further examination. Wishing you safety and health. Sincerely, D...

Understanding Male Breast Issues: Causes and Solutions for Gynecomastia

Hello, Doctor. My height is 168 cm and my weight is 75 kg, which means I am quite overweight. I used to run a lot when I was younger, so I don't appear very overweight, but I do have excess fat mainly in my chest and abdomen. However, there is a problem that has been botheri...

Dr. Lu Daokuan reply Plastic Surgery
The description is very detailed, but it may not have clinical significance. It is recommended to consult a breast surgeon or a plastic surgeon for an actual diagnosis before deciding on the next steps.

Understanding Fibrocystic Breast Changes: Symptoms and Relief Options

Fibrocystic breast changes can cause breast tenderness, chest pain, and back pain. Symptoms may include lumpiness in the breasts, swelling, and discomfort that may fluctuate with the menstrual cycle. To alleviate these bothersome issues, options include over-the-counter pain reli...

Dr. Chen Fuhao reply Obstetrics and Gynecology
Dear Ms. Liwen, Among all breast diseases in women, fibrocystic breast disease is the most common. Approximately 1 in 6 women aged 35 to 50 is affected by this condition. It can occur unilaterally or bilaterally (in about 20% of cases) and is not limited to any specific part of ...

Understanding Breast Dilation: Causes, Concerns, and Specialist Guidance

Hello Dr. Chen, I have a question for you. My mother recently underwent an examination, and the doctor mentioned that she has breast duct dilation. Is this a serious issue? Additionally, my mother has been experiencing some pain, which is causing her some concern. If she needs ...

Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello, Xiao Ming: The diagnosis of breast diseases requires evaluation by a surgical specialist. Your mother's discomfort also needs to be assessed in an outpatient clinic for further explanation. Deputy Director Chen Neng-Jin, Hualien Hospital.