Breast Health: When to See a Specialist for Painful Lumps

Chest

Dear Doctor: My third-grade daughter in China has a hard lump under the skin below her left nipple that has been present for about a week.
It hurts when pressed.
Which department should we consult? Thank you.

A-Wan, 30~39 year old female. Ask Date: 2008/08/13

Dr. Yang Mingqi reply Breast and Thyroid

Hello, please schedule an appointment for a breast surgery or general surgery outpatient examination.
Thank you.

Reply Date: 2008/08/13

More Info

When it comes to breast health, particularly in the case of a painful lump, it is crucial to seek professional medical advice promptly. In your situation, where a third-grade girl has developed a hard lump under the skin of her left breast that has been present for about a week and is painful to the touch, it is advisable to consult a specialist in breast health. The appropriate medical specialty for this concern would typically be a breast surgeon or a pediatrician who has experience in dealing with breast issues in children.

Breast lumps can arise from various causes, and understanding these can help in determining the urgency and type of medical intervention required. In young girls, breast tissue is still developing, and lumps can sometimes be benign, such as fibrocystic changes, which are often related to hormonal fluctuations. However, any new lump that is painful, especially in a child, should be evaluated to rule out more serious conditions.

Here are some key points to consider regarding breast lumps in children:
1. Common Causes: In children and adolescents, breast lumps are often related to hormonal changes, cysts, or benign tumors such as fibroadenomas. In some cases, they may also be related to infections or trauma.

2. Symptoms to Monitor: It is important to monitor any changes in the lump, such as size, shape, or associated symptoms like redness, warmth, or discharge. If the lump persists beyond a few weeks, worsens, or is accompanied by other symptoms, medical evaluation is warranted.

3. Diagnostic Evaluation: Upon visiting a specialist, the doctor may perform a physical examination and may recommend imaging studies such as an ultrasound or, in some cases, a mammogram, depending on the age and development of the breast tissue. These tests can help determine the nature of the lump.

4. When to Seek Immediate Care: If the lump is rapidly growing, if there are signs of infection (such as fever or pus), or if the child experiences significant pain, it is essential to seek immediate medical attention.

5. Importance of Professional Evaluation: Even if the lump seems benign, a professional evaluation is crucial. The healthcare provider can provide reassurance, monitor the condition, and recommend appropriate management if necessary.

In summary, for your concern regarding the painful lump under the breast of a young girl, it is best to schedule an appointment with a pediatrician or a breast specialist. They will be able to conduct a thorough examination and provide the necessary guidance and treatment options. Early intervention is key to ensuring breast health and addressing any potential issues effectively.

Similar Q&A

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

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?

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.

Understanding Breast Pain: When to Seek Medical Advice After a Tumor Diagnosis

Hello Doctor, since my sister has been diagnosed with breast cancer, I have started to have my breasts checked annually at the hospital. I discovered a 0.4 cm benign tumor in my right breast, and the doctors have recommended monitoring it once a year. During my follow-up appointm...

Dr. Yuan Tianmin reply Breast and Thyroid
If you are already being monitored in a professional clinic, breast pain is usually not a major concern, especially in menstruating individuals, as it is a common phenomenon.

Understanding Breast Pain: Causes, Symptoms, and When to Seek Help

Hello, Dr. Lin. Recently, while massaging my breasts, I felt a small lump that hurts when pressed firmly, and it seems that some surrounding areas are also painful, which was not the case before. Could you please help me understand the possible reasons for this and the symptoms a...

Dr. Lin Kecheng reply Surgery
A 33-year-old woman has palpable lumps in her breast that are tender to the touch. If these occur during the menstrual cycle, there is a higher likelihood that they are benign fibroadenomas. It is recommended to visit a general surgeon (or preferably a breast surgeon) for further...

Understanding Breast Lumps: When to Seek Medical Advice

Since middle school, I have had hard lumps in my breasts that hurt when lightly squeezed. Before my menstrual period, my breasts feel swollen and painful, and it seems that the lumps have also increased in size. Should I see a doctor for this, or should I just monitor it myself?

Dr. Yuan Tianmin reply Breast and Thyroid
It is best to seek treatment at a breast surgery outpatient clinic.