Small Breast Lumps: When to Seek Medical Advice - Breast and Thyroid

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Breast lump


Hello, doctor.
I have a small round lump about 0.1 to 0.2 cm under my left breast.
It has been there for a while and does not hurt when I press on it.
I would like to know what it might be and if I need to go to the hospital for an examination.

JA, 10~19 year old female. Ask Date: 2015/06/14

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear JA: Hello,
1.
In males, if there is a tumor beneath the nipple, it is more commonly gynecomastia; however, a size of 0.1-0.2 cm is quite small and could also be a tumor in the subcutaneous tissue.

2.
It is advisable to observe it first, and if there are any changes or symptoms, I recommend an outpatient examination.

Wishing you safety and health,
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare, Zhou Jiazhen

Reply Date: 2015/06/14

More Info


When it comes to small breast lumps, such as the one you described measuring approximately 0.1 to 0.2 cm under your left breast, it is essential to approach the situation with caution and awareness. While many breast lumps can be benign, such as cysts or fibroadenomas, any new or unusual lump should be evaluated by a healthcare professional to rule out any serious conditions, including breast cancer.


Understanding Breast Lumps
Breast lumps can arise from various causes, including:
1. Cysts: Fluid-filled sacs that can develop in the breast tissue. They are usually benign and can vary in size.

2. Fibroadenomas: Solid, non-cancerous tumors that are most common in younger women. They are typically painless and can move easily under the skin.

3. Lipomas: Benign tumors made of fatty tissue that can occur in the breast.

4. Infections or Abscesses: These can cause lumps that may be painful and are often accompanied by redness and swelling.

5. Malignant Tumors: While less common, breast cancer can present as a lump. Characteristics that may raise concern include hardness, irregular shape, and immobility.


When to Seek Medical Advice
Given that your lump is small and not painful, it may not be an immediate cause for alarm. However, it is crucial to monitor the lump for any changes in size, shape, or texture. Here are some guidelines on when to seek medical advice:
- New Lump: If you notice a new lump or a change in an existing lump, it is advisable to consult a healthcare provider.

- Changes in Size or Shape: Any increase in size or changes in the lump's characteristics should prompt a medical evaluation.

- Pain or Discomfort: If the lump becomes painful or causes discomfort, it is essential to seek medical attention.

- Skin Changes: Look for any changes in the skin over the lump, such as redness, dimpling, or puckering.

- Nipple Discharge: Any unusual discharge from the nipple, especially if it is bloody or occurs without squeezing, should be evaluated.


Recommended Actions
1. Self-Examination: Continue to perform regular breast self-exams to monitor for any changes. Familiarize yourself with the normal texture and appearance of your breasts.

2. Consult a Healthcare Provider: It is advisable to schedule an appointment with a healthcare provider for a clinical breast exam. They may recommend imaging tests, such as a mammogram or ultrasound, to further evaluate the lump.

3. Follow-Up: If your healthcare provider suggests monitoring the lump, ensure you follow up as recommended. If any changes occur, return for further evaluation.


Conclusion
While the small lump you described may not be a cause for immediate concern, it is always better to err on the side of caution when it comes to breast health. Regular check-ups and awareness of your body are vital components of maintaining breast health. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for guidance and reassurance. Early detection and intervention are key to managing any potential issues effectively.

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