Breast Tumors: When to Worry About Changes and Symptoms

Breast tumor

Hello Dr.
Chen: Last year, I had a breast ultrasound at Ho Shin Hospital, which confirmed the presence of two calcifications, several cysts, and fibroadenomas.
The doctor mentioned that these might be benign, so we decided to monitor them for now.
However, last month, I noticed that one of the tumors has grown larger and is very noticeable.
Additionally, I started experiencing unexplained fevers three days ago, and the enlarged tumor is not painful to the touch (while other fibroadenomas are painful when pressed).
Furthermore, my period is four days late and has not arrived yet (I usually have regular cycles, and I have been sterilized for ten years, so pregnancy is not possible).
I am quite worried that these symptoms may indicate a progression to malignancy...!

san, 30~39 year old female. Ask Date: 2006/06/14

Dr. Chen Xunche reply Obstetrics and Gynecology

Hello! Typically, tumors do not change rapidly.
If you notice that a tumor feels larger, you should consult a specialist for further evaluation.
Thank you.

Reply Date: 2006/06/14

More Info

When it comes to breast tumors, understanding when to be concerned about changes and symptoms is crucial for early detection and management. Based on your description, it appears that you have a history of benign breast conditions, including calcifications, cysts, and fibrocystic changes. However, the recent development of a noticeable increase in size of one of the tumors, along with the onset of unexplained fever and a delayed menstrual cycle, raises some important considerations.

Firstly, it is essential to recognize that while many breast lumps are benign, any significant changes in size, shape, or characteristics of a lump should prompt further evaluation. The fact that you have noticed a lump that has grown larger and is now more prominent is a red flag. Benign tumors, such as fibroadenomas or cysts, typically do not exhibit rapid growth. Therefore, a change in size, especially if it is accompanied by other symptoms like fever, warrants a thorough investigation.

Fever can indicate an inflammatory process or infection, which may or may not be related to the breast lump. In some cases, infections can occur in the breast tissue, leading to abscess formation, which may present as a painful lump. However, the absence of pain in the area of the enlarged lump is also noteworthy. This could suggest that the lump is not infected, but it does not eliminate the possibility of other underlying issues.

Given your history of benign conditions and the recent changes, it is advisable to consult with a breast specialist or oncologist. They may recommend further imaging studies, such as a mammogram or MRI, to assess the characteristics of the lump more closely. Additionally, a biopsy may be necessary to determine whether the tumor is benign or malignant. A biopsy can provide definitive information about the cellular makeup of the lump, which is crucial for diagnosis and treatment planning.

Regarding your menstrual cycle, while it is less likely that your previous tubal ligation would directly affect your menstrual cycle, stress and anxiety about your health can sometimes lead to irregularities. However, it is essential to mention this change to your healthcare provider, as they may want to explore further hormonal evaluations or other underlying causes.

In summary, while many breast lumps are benign, any significant changes in size or new symptoms such as fever should be taken seriously. It is crucial to follow up with a healthcare provider who can perform a thorough evaluation and recommend appropriate diagnostic tests. Regular self-examinations and annual check-ups with a healthcare provider are essential for monitoring breast health, especially if there is a history of breast conditions. Early detection is key in managing any potential issues effectively.

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