Breast Lumps: Fatty Tissue or Something More? - Breast and Thyroid

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Breast lump


I have noticed that there are similar hard lumps inside both of my breasts, and they are quite large, almost slightly smaller than the breasts themselves.
They don't hurt when I squeeze them.
Are these lumps fat, hard masses, or something else? I've had them for a long time, since high school.
Can I just leave them alone? Also, are normal breasts supposed to feel completely soft?

Xiao V, 10~19 year old female. Ask Date: 2013/11/26

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Xiao V,
Hello.

1.
It should refer to the "glandular tissue of the breast," so when performing breast self-examinations, do not pinch; instead, use a rolling motion to check for any actual lumps or protrusions.

2.
You may visit a breast surgery outpatient clinic for examination.

3.
Breasts are not always soft; their texture can vary depending on the amount of fatty tissue and the density of glandular tissue.
Therefore, different ages and menstrual cycles may present variations.
Regular check-ups are advisable.
Wishing you safety and health.
Sincerely,
Zhou Jiazhen
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2013/11/26

More Info


When it comes to understanding breast lumps, it's essential to differentiate between various types of tissue and potential conditions. The presence of lumps in the breast can be concerning, but not all lumps are indicative of serious health issues. In your case, since you mentioned that the lumps are hard, relatively large, and do not cause pain when pressed, they could likely be benign conditions such as fibrocystic changes or lipomas.

Fibrocystic Changes: This is a common condition characterized by lumpy or rope-like breast tissue. It often occurs due to hormonal fluctuations, particularly during the menstrual cycle. Women may experience tenderness, swelling, or a change in the texture of their breast tissue. These changes are usually benign and can be managed with lifestyle adjustments, such as reducing caffeine intake or wearing a supportive bra.

Lipomas: These are soft, fatty lumps that grow under the skin. They are generally harmless and can vary in size. Lipomas are usually painless and can be left untreated unless they become bothersome or painful.
Breast Cancer: While most breast lumps are benign, it’s crucial to be vigilant. Breast cancer can sometimes present as a hard lump that feels different from the surrounding tissue. Characteristics that may raise concern include a lump that is hard, irregularly shaped, or associated with changes in the skin or nipple.
Normal Breast Tissue: Normal breast tissue can feel soft and may have some firmness due to glandular tissue. However, it is not uncommon for women to have areas of firmness or lumps that are completely benign.
Given that you have noticed these lumps for a long time without any accompanying symptoms such as pain, changes in size, or skin changes, it may be reasonable to monitor them. However, it is essential to consult with a healthcare provider for a thorough evaluation, especially if there are any changes in the lumps or if you experience new symptoms.
Recommendations:
1. Self-Examination: Regularly perform breast self-exams to familiarize yourself with the normal texture of your breasts. This will help you notice any changes more easily.

2. Professional Evaluation: Schedule an appointment with a healthcare provider or a breast specialist. They may recommend imaging studies, such as a mammogram or ultrasound, to assess the lumps further.

3. Lifestyle Considerations: Maintain a healthy lifestyle, including a balanced diet and regular exercise, which can help manage hormonal fluctuations and overall breast health.

In conclusion, while the lumps you describe may be benign, it is always best to err on the side of caution and seek professional advice. Early detection and evaluation are key to ensuring breast health and addressing any potential concerns.

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