Hard Lumps Under the Breast: When to Seek Medical Help

Q: Hard Lumps Under the Breast: When to Seek Medical Help

Dear netizens： Please visit our hospital's Breast Surgery or General Surgery department. <br>Dr. <br>Ming-Chi Yang.

There is a lump under the left breast?

Several years ago, I noticed this lump.
It started as a small black dot, and when I squeezed it, there was a white substance that had an odor.
I ignored it, and it has since grown larger.
There is no pain associated with it.
I would like to know which department I should visit at your hospital.
Thank you.

Miss You, 40~49 year old female. Ask Date: 2007/01/19

Dr. Yang Mingqi reply Breast and Thyroid

Dear netizens: Please visit our hospital's Breast Surgery or General Surgery department.
Dr.
Ming-Chi Yang.

Reply Date: 2007/01/19

More Info

When it comes to hard lumps under the breast, it is essential to approach the situation with caution and awareness. While not all lumps are indicative of serious health issues, some can be a sign of underlying conditions that require medical attention. Given your description of the lump starting as a small black dot that has grown over time and produced a discharge, it is advisable to seek medical evaluation.

When to Seek Medical Help
1. Changes in Size or Shape: If the lump has increased in size or changed shape, this warrants a visit to a healthcare provider. Lumps that grow over time can sometimes indicate a more serious condition.

2. Discharge: The presence of discharge, especially if it has a foul odor, can be a sign of infection or other issues. This is particularly important if the discharge is bloody or unusual in color.

3. Persistent Symptoms: If the lump has been present for several years and has changed in any way, or if you experience any new symptoms such as pain, swelling, or changes in the skin over the lump, you should consult a doctor.

4. Family History: If you have a family history of breast cancer or other breast-related conditions, it is prudent to have any new or changing lumps evaluated by a healthcare professional.

Recommended Specialists
For a lump under the breast, you should consider visiting a general practitioner (GP) first. They can perform an initial examination and determine if further evaluation is necessary. Depending on their findings, they may refer you to a specialist, such as:
- Breast Surgeon: If the lump requires surgical evaluation or removal.

- Oncologist: If there is a concern about cancer.

- Dermatologist: If the lump is related to skin issues, such as cysts or infections.

Diagnostic Procedures
Upon visiting a healthcare provider, they may recommend several diagnostic tests to better understand the nature of the lump:
- Ultrasound: This imaging test can help determine whether the lump is solid or fluid-filled.

- Mammogram: If you are of appropriate age or risk category, a mammogram may be suggested to screen for breast cancer.

- Biopsy: If there is concern about the lump being cancerous, a biopsy may be performed to analyze the tissue.

Conclusion
In summary, while not all lumps under the breast are cause for alarm, your description suggests that it is wise to seek medical advice. Early evaluation can lead to better outcomes, especially if the lump is symptomatic or has changed over time. Make an appointment with a general practitioner who can guide you through the necessary steps and refer you to the appropriate specialist if needed. Remember, it’s always better to err on the side of caution when it comes to your health.

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