Breast Lumps: Symptoms, Causes, and When to See a Doctor - Surgery

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Breast lump?


Hello doctor, I recently noticed a lump in my breast, located about one finger's width above the midpoint between my two nipples, slightly to the right.
The lump is usually not painful, but it does hurt when I press on it.
There are no visible abnormalities on the surface of my chest.
This suspected lump and its symptoms have been present for some time; it tends to hurt for a while and then not hurt for another period.
What could these symptoms indicate? Which department should I visit for medical consultation? Thank you.

Xiong Xiong, 20~29 year old female. Ask Date: 2009/06/05

Dr. Lin Kecheng reply Surgery


Hello, regarding the lump located slightly above and to the right of the midpoint between the two nipples, it is usually not painful, but it does cause tenderness when pressed.
There are no visible abnormalities on the surface of the breast.
The lump has been present for some time, with intermittent pain.
Based on the symptoms, it may be a benign skin tumor.
I recommend that you first consult a general surgeon, who will determine whether an ultrasound examination is necessary based on your symptoms and make a final diagnosis regarding any breast conditions.
Wishing you good health.
I apologize for the delay in my response as I was out of town for a conference these past two days.

Reply Date: 2009/06/05

More Info


When it comes to breast lumps, it's essential to approach the situation with caution and awareness. Breast lumps can arise from various causes, and understanding the symptoms, potential causes, and when to seek medical attention is crucial for your health.


Symptoms of Breast Lumps
The symptoms associated with breast lumps can vary widely. In your case, you mentioned that the lump is located between the nipples, slightly to the right, and that it is generally painless unless pressed. This is an important detail, as the nature of the pain and the characteristics of the lump can provide clues about its origin. Common symptoms associated with breast lumps include:
1. Pain or tenderness: As you noted, the lump can be painful when pressed, which may indicate inflammation or irritation.

2. Changes in size: Some lumps may fluctuate in size, particularly in relation to your menstrual cycle due to hormonal changes.

3. Texture changes: The lump may feel different from the surrounding breast tissue, which can be a sign of a benign or malignant process.

4. Skin changes: While you mentioned that the surface of your breast appears normal, any changes in skin texture, color, or the presence of dimpling should be noted.


Potential Causes of Breast Lumps
There are several potential causes for breast lumps, and they can range from benign to more serious conditions. Some common causes include:
1. Fibrocystic changes: This is a common condition characterized by lumpy, painful breasts, often linked to hormonal fluctuations.

2. Cysts: Fluid-filled sacs that can develop in the breast tissue. They are usually benign but can cause discomfort.

3. Fibroadenomas: These are solid, benign tumors made up of glandular and connective tissue. They are typically painless and can be mobile.

4. Infections or abscesses: These can cause localized pain and swelling, often accompanied by redness and warmth.

5. Malignant tumors: While less common, breast cancer can present as a lump. Characteristics such as irregular shape, hard texture, and immobility can be concerning.


When to See a Doctor
Given your symptoms, it is advisable to consult a healthcare professional, particularly if the lump has been present for an extended period or if you notice any changes in its characteristics. You should consider scheduling an appointment with a breast specialist or a general surgeon who has experience in breast health. They can perform a thorough evaluation, which may include:
- Clinical breast examination: A physical examination to assess the lump and surrounding tissue.

- Imaging studies: Such as a mammogram or ultrasound, to visualize the lump and determine its nature.

- Biopsy: If there is any concern about the lump being malignant, a biopsy may be performed to obtain tissue for analysis.


Conclusion
In summary, while breast lumps can often be benign, it is crucial to take any changes seriously and seek medical advice. Your symptoms warrant a professional evaluation to rule out any serious conditions and to provide peace of mind. Remember, early detection and intervention are key in managing breast health effectively. If you have any further questions or concerns, do not hesitate to reach out to a healthcare provider. Your health is paramount, and proactive measures can make a significant difference.

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