Breast Lumps: Causes, Symptoms, and When to Seek Help

There is a lump?

Hello, Doctor: I would like to ask you about something I noticed about two or three years ago.
I found a small hard lump in my right breast (above the right nipple) that sometimes hurts, especially when pressed, while at other times it doesn't hurt at all.
The lump has grown larger, now measuring about 3 to 4 centimeters or more, and it seems to be elongating towards the areola and nipple, appearing somewhat oval and more prominent.
The lump is movable and there is no discharge, although on a couple of occasions, it seemed like a watery substance could be expressed from the areola, but I'm not sure.
The height of the areolas appears to differ by about one to two centimeters, with the right side (where the lump is) being lower.
Sometimes both sides of my breasts experience pain.
What could this situation indicate? Thank you!

Xiao Ye, 30~39 year old female. Ask Date: 2008/04/17

Dr. Xie Wenhuai reply Breast and Thyroid

Male breast tissue is less developed, so the likelihood of tumors is relatively rare.
Based on your description, it may be a subcutaneous tumor.
You can visit a surgical outpatient clinic for a diagnosis and possible excision by a physician.

Reply Date: 2008/04/17

More Info

Breast lumps can be a source of concern for many individuals, and understanding their causes, symptoms, and when to seek medical help is crucial for maintaining breast health. Based on your description, it sounds like you have a lump in your right breast that has been present for a couple of years, has grown in size, and occasionally causes pain. Here’s a comprehensive overview of what you might be experiencing.

Causes of Breast Lumps
Breast lumps can arise from various conditions, which can be broadly categorized into benign (non-cancerous) and malignant (cancerous) causes. Some common benign conditions include:
1. Fibrocystic Changes: This is a common condition characterized by lumpy, painful breasts, often related to hormonal fluctuations. It can cause cysts or fibrous tissue to develop, leading to discomfort and changes in breast texture.

2. Fibroadenomas: These are solid, non-cancerous tumors made up of glandular and connective tissue. They are usually painless and can move when pressed.

3. Cysts: Fluid-filled sacs that can develop in the breast tissue. They can vary in size and may cause discomfort, especially if they become large.

4. Infections or Abscesses: Infections in the breast tissue can lead to painful lumps, often accompanied by redness and swelling.

5. Lipomas: These are benign tumors made of fatty tissue that can occur anywhere in the body, including the breast.

6. Breast Cancer: While less common, breast cancer can present as a lump in the breast. It is essential to monitor any changes in size, shape, or texture of the lump, as well as any associated symptoms.

Symptoms to Monitor
In your case, the lump you described is approximately 3-4 cm, movable, and has changed in shape over time. The fact that it sometimes causes pain and that you have noticed asymmetry in your breasts (with one nipple appearing lower than the other) are important factors to consider. Other symptoms to watch for include:
- Changes in the skin over the breast or nipple (such as dimpling or puckering).

- Any discharge from the nipple, especially if it is bloody or occurs spontaneously.

- Changes in the size or shape of the breast.

- Swelling or lumps in the underarm area.

When to Seek Help
Given the changes you’ve described, it is advisable to seek medical attention. Here are some guidelines on when to consult a healthcare professional:
1. Persistent Lump: If a lump persists for more than a few weeks, especially if it grows in size, it should be evaluated.

2. Pain or Discomfort: While many benign lumps can be painless, any new or worsening pain associated with a lump warrants further investigation.

3. Changes in Appearance: Any noticeable changes in the breast's shape, size, or skin texture should be assessed by a healthcare provider.

4. Nipple Discharge: If you experience any discharge from the nipple, particularly if it is bloody or occurs without squeezing, it is essential to seek medical advice.

Recommended Actions
1. Consult a Specialist: A visit to a breast specialist or a general surgeon who specializes in breast health is recommended. They may perform a clinical breast exam and recommend imaging studies such as a mammogram or ultrasound to evaluate the lump further.

2. Biopsy: If imaging studies suggest that the lump may be suspicious, a biopsy may be necessary to determine whether it is benign or malignant.

3. Follow-Up: Regular follow-up appointments may be necessary to monitor any changes in the lump or surrounding breast tissue.

In conclusion, while many breast lumps are benign, it is essential to take any changes seriously and seek professional evaluation. Early detection and diagnosis are key to effective treatment and management of breast health issues.

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