Breast Concerns: When to See a Specialist and What Tests to Expect

excuse me?

Hello Doctor: I have a question.
1.
My left breast is more prominent than my right, and I can feel a hard lump.
Should I see a breast surgeon? Is it possible that this could be breast cancer? 2.
If I go for a consultation, what tests should I expect?

Wei, 10~19 year old female. Ask Date: 2007/01/12

Dr. Xie Wenhuai reply Breast and Thyroid

Some adolescent boys may experience breast swelling or even palpable lumps, which is similar to your description.
It can often be disregarded, but if you are concerned, you can visit a nearby hospital for a surgical consultation and arrange for an ultrasound examination.

Reply Date: 2007/01/12

More Info

When it comes to breast concerns, especially when you notice asymmetry, lumps, or changes in your breast tissue, it is crucial to seek medical attention from a specialist. In your case, you mentioned that your left breast appears more prominent than the right and that you can feel a hard lump. This situation warrants a thorough evaluation by a healthcare professional, specifically a breast surgeon or a specialist in breast health.

1. When to See a Specialist: You should see a breast specialist if you notice any of the following:
- A lump or mass in the breast that feels different from the surrounding tissue.

- Changes in the size or shape of your breasts, such as asymmetry.

- Any unusual discharge from the nipples.

- Persistent breast pain that is not related to your menstrual cycle.

- Skin changes, such as dimpling, puckering, or redness.

Given your description of a hard lump and asymmetry, it is advisable to consult a breast surgeon. While not all lumps are cancerous, it is essential to rule out breast cancer or other conditions that may require treatment.

2. What Tests to Expect: When you visit a breast specialist, they will likely perform a comprehensive evaluation, which may include:
- Clinical Breast Exam: The doctor will physically examine your breasts for lumps, changes in texture, and any other abnormalities.

- Imaging Tests: Depending on the findings from the physical exam, the doctor may recommend imaging tests such as:
- Mammography: This is an X-ray of the breast that can help identify abnormalities.

- Ultrasound: This test uses sound waves to create images of the breast tissue and can help differentiate between solid masses and fluid-filled cysts.

- MRI: In some cases, an MRI may be recommended for a more detailed view of the breast tissue.

- Biopsy: If a lump is found, the doctor may recommend a biopsy to determine whether it is benign or malignant. This involves taking a small sample of tissue from the lump for laboratory analysis.

It is important to remember that breast cancer can present in various ways, and not all lumps are cancerous. However, early detection is key to successful treatment, so it is crucial to follow up on any concerning symptoms.
In addition to the physical examination and imaging tests, the doctor may also take a detailed medical history, including any family history of breast cancer or other risk factors. This information can help assess your risk and guide the appropriate management plan.

In summary, if you notice any changes in your breasts, such as asymmetry or lumps, it is essential to consult a breast specialist. They will conduct a thorough evaluation and recommend the necessary tests to ensure your breast health. Regular breast self-exams and screenings are also vital for early detection of any potential issues.

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