Concerns About a Hard Lump in the Breast: What You Should Know

A small hard lump was found in the chest?

Hello, Doctor.
I'm sorry to bother you, but I'm currently abroad and need to have an online consultation.
A few days ago, I suddenly discovered a small, round, hard lump (smooth) on the right side of my chest.
Since I won't be able to return to my home country for an examination for three months, I'm quite worried.
I'm 30 years old and have been taking the birth control pill, Dailian.
Previously, I experienced itching on my skin, which caused dark patches on my body and both sides of my chest due to scratching.
I felt very anxious when I suddenly touched the lump, and I would like to ask for your advice.
Would it be too late to wait until I return home for an examination? Thank you very much!

mechlle, 30~39 year old female. Ask Date: 2015/07/08

Dr. Zai Yunsheng reply Surgery

Please return to your home country as soon as possible for a medical examination or seek medical treatment abroad.

Reply Date: 2015/07/08

More Info

When it comes to concerns about a hard lump in the breast, especially for someone who is 30 years old and has been on birth control pills, it’s essential to approach the situation with both caution and informed understanding. While the presence of a lump can be alarming, it is important to remember that not all lumps are indicative of breast cancer.
Firstly, breast tissue can undergo various changes due to hormonal fluctuations, particularly in women who are on hormonal contraceptives like the pill. These hormonal changes can lead to the development of benign conditions such as fibrocystic breast changes, which can manifest as lumps or areas of tenderness in the breast. These lumps are often smooth, movable, and can vary in size throughout the menstrual cycle.
Given your description of the lump being small and round, it could very well be a benign cyst or a fibroadenoma, both of which are common in women of reproductive age. However, it is crucial to monitor the lump for any changes in size, shape, or associated symptoms such as pain or discharge. If the lump remains stable and does not exhibit concerning features, waiting until you return home for a professional evaluation may be acceptable.
However, if you experience any of the following symptoms, it would be advisable to seek medical attention sooner rather than later:
1. Rapid Growth: If the lump increases in size quickly, this warrants further investigation.

2. Pain: While many benign lumps are not painful, significant discomfort should be evaluated.

3. Changes in Skin: Any changes in the skin over the lump, such as redness, dimpling, or puckering, should be assessed.

4. Nipple Discharge: Any unusual discharge from the nipple, especially if it is bloody or occurs spontaneously, should be evaluated promptly.

In terms of timing, while waiting three months for a check-up may not be detrimental if the lump is stable and asymptomatic, it is always better to err on the side of caution. If you have access to healthcare services where you currently are, consider seeking a local evaluation. Many clinics can perform a breast ultrasound or mammogram to assess the lump further, providing peace of mind or necessary intervention if needed.

Additionally, your history of skin irritation and discoloration due to scratching should also be addressed. It’s important to avoid trauma to the breast area, as this can lead to further irritation or complications. Keeping the skin moisturized and avoiding scratching can help manage this issue.

In conclusion, while the likelihood of breast cancer at your age is relatively low, it is essential to remain vigilant and proactive about your breast health. Regular self-examinations and awareness of your body are key components of early detection. If you have any doubts or if the lump changes, do not hesitate to seek medical advice sooner. Your health and peace of mind are paramount.

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