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 is often associated with "erythematous lupus." What does that look like? My right nipple has been secreting some white discharge (which can be removed, but it keeps coming back @@!!), and there are hard lumps in my right breast.
Additionally, there are red streaks near both breasts that are not painful, just noticeable 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: 2006/02/28
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 very important.
Regarding 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 may be related to your bra.
You might 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: 2006/02/28
More Info
Breast issues can be a source of significant concern for many individuals, particularly when symptoms such as pain, itching, or unusual discharge arise. Understanding these symptoms and their potential causes is crucial for addressing any underlying health issues and alleviating anxiety.
Firstly, let's discuss the symptom of breast pain, also known as mastalgia. This condition is quite common among women, with studies indicating that approximately two-thirds of women experience breast pain at some point in their lives. The pain can be cyclical, often correlating with the menstrual cycle, and is typically due to hormonal fluctuations. Conditions such as fibrocystic breast changes or fibroadenomas can also contribute to breast pain. These benign conditions may cause discomfort, particularly in the days leading up to menstruation.
In your case, the presence of hard lumps in the breast, along with nipple discharge, warrants further investigation. While nipple discharge can be benign, especially if it is clear or milky, any persistent or unusual discharge—particularly if it is bloody or accompanied by other symptoms—should be evaluated by a healthcare professional. The hard lumps you mentioned could be related to fibrocystic changes or other benign breast conditions, but they could also indicate something more serious, such as a tumor. Therefore, it is essential to follow up with a healthcare provider for a thorough examination and possibly imaging studies, such as a mammogram or ultrasound.
Regarding the "red streaks" you mentioned, these could be a result of various factors, including irritation from tight clothing or improper fitting bras. However, they could also indicate a skin condition or even an infection, such as mastitis, particularly if there are accompanying symptoms like redness, warmth, or swelling. It's important to monitor these symptoms and consult a healthcare provider if they persist or worsen.
As for the concern about breast cancer, it is essential to understand that while certain symptoms can be associated with breast cancer, such as a painless lump, changes in breast shape or size, or skin changes (like the "peau d'orange" appearance), not all breast issues are indicative of cancer. In fact, many benign conditions can mimic the symptoms of breast cancer. Regular breast self-exams and routine screenings, such as mammograms, are vital for early detection and peace of mind.
In summary, while your symptoms may be concerning, they do not automatically indicate breast cancer. However, it is crucial to seek medical advice to rule out any serious conditions and to receive appropriate care. A healthcare provider can offer a comprehensive evaluation, including a physical examination and necessary imaging, to determine the cause of your symptoms and recommend a suitable treatment plan. Remember, early intervention is key in managing breast health effectively.
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