Hard Lumps in the Breast: Causes and Concerns

I have a hard lump at the lower edge of my right breast?

Hello, Dr.
Hsu.
Recently, I discovered a small hard lump at the lower edge of my right breast (near the bottom edge), just above the rib cage.
It's about the size of a one-dollar coin (located near the cleavage area).
It is very painful when pressed and does not move.
I asked a friend to check it, and according to them, it feels like it is on the surface of the skin and moves with the skin.
However, I feel that it is hard and does not move much, and it is quite painful.
Since I was very concerned, I asked my friend to squeeze it, and a lot of pus that looked like acne was expelled.
After squeezing, it became much smaller, but I can still feel a hard lump, and I have been trying to see if there is any more pus, but there isn't! The hard lump is still there, and I am very anxious about it, but I don't have the courage to see a doctor.
I would like to ask you, 1.
Is this an unknown tumor or just an acne cyst? 2.
The hard lump is still present (it feels less painful now, but it is solid and does not move), and it is at the lower edge of my breast.
I am very worried that it might move into the breast itself.
Could you please take some time to respond to me? I am very anxious about this situation.
Thank you.

Cha Miao, 20~29 year old female. Ask Date: 2007/01/27

Dr. Xu Junzheng reply Obstetrics and Gynecology

The likelihood of a tumor is low, but it is still recommended to consult a physician for an examination.
If you have difficulty overcoming psychological barriers, you may consider seeing a female doctor.
Thank you!

Reply Date: 2007/01/27

More Info

When it comes to hard lumps in the breast, particularly in the area you described, there are several potential causes and considerations that need to be addressed. First and foremost, it's important to understand that breast tissue is complex and can undergo various changes due to hormonal fluctuations, physical activity, and other factors.

1. Possible Causes of Hard Lumps:
- Fibrocystic Changes: This is a common condition where the breast tissue becomes lumpy or rope-like, often due to hormonal changes. These lumps can be painful and may fluctuate in size with the menstrual cycle.

- Cysts: Fluid-filled sacs that can develop in the breast tissue. They can feel firm or hard and may be tender, especially if they become inflamed.

- Abscesses: If you noticed pus-like discharge when you squeezed the lump, it could indicate an abscess, which is a collection of pus that can occur due to infection. This would typically require medical evaluation and possibly drainage.

- Lipomas: These are benign tumors made of fat tissue that can feel soft or firm and are usually painless.

- Fibroadenomas: These are solid, benign tumors that can feel like a marble in the breast. They are usually movable and painless but can sometimes be tender.

2. Symptoms and Concerns:
- The pain you described, especially when pressing on the lump, is significant. Pain can be a symptom of various conditions, including inflammation or infection. The fact that the lump is not moving and feels hard could suggest a more solid structure, which is worth investigating further.

- The presence of discharge, especially if it is pus-like, is a concern and should not be ignored. It indicates that there may be an underlying infection or another issue that needs to be addressed.

3. When to Seek Medical Attention:
- It is crucial to consult a healthcare provider, especially since you have experienced pain and discharge. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound or mammogram, to evaluate the lump further.

- If the lump persists, changes in size, or if you notice any additional symptoms (such as changes in the skin over the lump, increased pain, or systemic symptoms like fever), it is essential to seek medical attention promptly.

4. Self-Examination and Monitoring:
- While self-examination can help you become familiar with your breast tissue, it is not a substitute for professional medical evaluation. If you notice any changes, such as new lumps, changes in the skin, or discharge, these should be evaluated by a healthcare provider.

- Regular breast self-exams can help you monitor your breast health, but any concerning findings should lead to a consultation with a medical professional.

5. Emotional Considerations:
- It’s understandable to feel anxious about changes in your breast tissue. Many individuals experience anxiety when faced with potential health concerns. Remember that most breast lumps are benign, but it is always better to err on the side of caution and have them evaluated.

In conclusion, while there are many benign causes for hard lumps in the breast, the symptoms you describe warrant a thorough evaluation by a healthcare professional. They can provide a definitive diagnosis and appropriate management based on your specific situation. Don't hesitate to seek help; your health and peace of mind are paramount.

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