Breast Swelling and Pain: Is It a Tumor?

Q: Breast Swelling and Pain: Is It a Tumor?

Hello： It is advisable to observe the lump for 1-2 weeks after your menstrual period ends. <br>If it does not disappear, you should visit the outpatient clinic for an examination. <br>Sometimes there is a correlation, as hormonal changes or abnormalities can also affect breast lu

Chest swelling and pain?

Hello Doctor, I have had breast swelling issues for many years (which becomes more pronounced during my menstrual period).
However, since it hasn't been painful, I didn't pay much attention to it.
Recently, after my menstrual period, the swelling in my right breast has persisted for several days (the right breast may be about 1.5 cups larger than the left) and there is noticeable pain.
When I examine it manually, the pain becomes more pronounced, and I feel a hard lump in my right breast.
Could this possibly be a breast tumor? Thank you for your assistance.

huanzhe, 20~29 year old female. Ask Date: 2015/02/06

Dr. Zhou Jiazhen reply Breast and Thyroid

Hello: It is advisable to observe the lump for 1-2 weeks after your menstrual period ends.
If it does not disappear, you should visit the outpatient clinic for an examination.
Sometimes there is a correlation, as hormonal changes or abnormalities can also affect breast lumps.
Wishing you peace and good health.
Sincerely, Dr.
Chou Chia-Cheng, Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/02/06

More Info

Breast swelling and pain can be concerning, especially when there are noticeable changes in size and the presence of a hard lump. It’s important to understand that while breast tumors can cause these symptoms, not all lumps or swellings are indicative of cancer or serious conditions.
From your description, it sounds like you have been experiencing breast swelling for several years, particularly during your menstrual cycle, which is quite common. Hormonal fluctuations during the menstrual cycle can lead to conditions such as fibrocystic breast changes, where the breast tissue becomes lumpy or swollen, often accompanied by tenderness or pain. This is usually benign and related to hormonal changes.

However, the fact that you are now experiencing persistent swelling and pain in one breast, along with the sensation of a hard lump, warrants further investigation. While benign conditions like fibrocystic changes or fibroadenomas (a type of benign tumor) can cause similar symptoms, it is crucial to rule out any serious conditions, including breast cancer.
Breast cancer is relatively rare in younger women, but it can occur. The presence of a hard lump that is painful, especially if it has changed recently, should be evaluated by a healthcare professional. It’s also important to note that breast pain is not typically associated with breast cancer, but it can occur in some cases.
You mentioned that the swelling and pain are more pronounced after your menstrual period. This could suggest that hormonal changes are playing a significant role in your symptoms. However, the persistent nature of the swelling and the new onset of pain are factors that should not be ignored.
In your situation, I recommend the following steps:
1. Consult a Healthcare Provider: Schedule an appointment with a healthcare provider, preferably a breast specialist. They will be able to perform a thorough examination and may recommend imaging studies such as a mammogram or ultrasound to assess the lump and the surrounding tissue.

2. Keep a Symptom Diary: Document any changes in your breast, including size, pain levels, and any other symptoms you may experience. This information can be helpful for your healthcare provider.

3. Discuss Family History: Since you mentioned that your mother has had tumors, it’s important to discuss your family history with your healthcare provider. Family history can play a role in breast cancer risk.

4. Consider Lifestyle Factors: While hormonal factors are significant, lifestyle factors such as diet, exercise, and stress management can also impact breast health. Maintaining a healthy lifestyle can be beneficial.

5. Follow-Up: If your healthcare provider recommends monitoring the lump or performing additional tests, be sure to follow their advice and attend any follow-up appointments.

In summary, while your symptoms may be related to benign breast conditions, the changes you are experiencing should be evaluated by a healthcare professional to ensure proper diagnosis and management. Early detection and intervention are key to addressing any potential issues effectively.

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