Breast Lumps: Should You Worry About Cancer? - Oncology

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There is a lump in the breast?


Hello, doctor! When I was in the 5th and 6th grades, I noticed a hard lump in my nipple.
By the time I was in the 2nd year of junior high, it hadn't changed much (it grew very slowly).
However, in the 3rd year of junior high, I felt that it seemed to have grown a bit when pressed.
It feels irregular in shape and approximately 2 to 3 centimeters in size (the right side is larger).
Could this be breast cancer? If so, should I see a general surgeon or a breast specialist?

Guo San Sheng, 10~19 year old female. Ask Date: 2013/04/05

Dr. Lai Yicheng reply Oncology


Hello: Breast tumors are classified into benign tumors and malignant tumors.
A definitive diagnosis still requires examination at a hospital.
You can visit our Radiation Oncology Department, or the Breast Surgery or General Surgery departments for further evaluation.
~Changhua Hospital cares about you~

Reply Date: 2013/04/05

More Info


When it comes to breast lumps, especially in young individuals, it is essential to approach the situation with both caution and informed understanding. The presence of a lump in the breast can be concerning, but not all lumps are indicative of breast cancer. In your case, you have described a hard lump that has been present for several years and has shown some growth, which raises valid concerns.

Breast lumps can be categorized into several types, including benign conditions such as cysts, fibroadenomas, and other non-cancerous growths, as well as malignant tumors, which are cancerous. The characteristics of the lump you described—irregular shape, size of 2-3 cm, and a hard consistency—are important factors that healthcare providers will consider when evaluating the lump.

Given your age and the fact that you have had this lump for several years, it is less likely to be breast cancer, as breast cancer is relatively rare in younger individuals. However, the irregular shape and the recent change in size warrant further investigation. It is crucial to have any new or changing lumps evaluated by a healthcare professional.

You should consider scheduling an appointment with a specialist in breast health, such as a breast surgeon or a breast care specialist. They can perform a clinical breast examination and may recommend imaging studies, such as a mammogram or ultrasound, to better assess the lump's characteristics. If necessary, a biopsy may be performed to determine whether the lump is benign or malignant.

In terms of your specific question about whether to report to a surgical department or a breast clinic, it would be advisable to seek out a breast clinic or a specialist who focuses on breast health. These professionals are trained to evaluate breast lumps and can provide a comprehensive assessment and management plan.

Additionally, it is essential to communicate any changes in the lump, such as increased size, pain, or changes in the skin over the lump, to your healthcare provider. Regular self-examinations and awareness of your breast health are also crucial. If you notice any new symptoms or changes, do not hesitate to seek medical advice.

In summary, while the presence of a lump can be concerning, it is essential to approach the situation with a clear plan. Seek evaluation from a breast specialist, undergo necessary imaging and possibly a biopsy, and maintain open communication with your healthcare provider about any changes in your breast health. Early detection and intervention are key to managing any potential issues effectively.

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