Breast Lumps: What You Need to Know

Q: Breast Lumps: What You Need to Know

Hello： You can first consult a breast surgeon for an examination. <br>If you have any concerns, please return to your home country for a detailed check-up. <br>The Ministry of Health and Welfare Changhua Hospital cares about you.

There is a hard lump in the chest?

Hello doctor, I am 32 years old and my child is 1 year and 2 months old.
I breastfed until my child was seven months old, which was at the end of last year.
This month, when my menstrual period started, I felt a hard lump in the upper part of my left breast, near the center.
I can feel it gently, it does not move, and it is not painful.
There is no discharge from the nipple, and the size is similar to a red bean.
Since I live abroad, it will take about six months to a year before I can return to Taiwan for an examination, so I would like to ask for your advice.
Thank you.

tracy, 30~39 year old female. Ask Date: 2015/07/17

Dr. Yu Mingchang reply Surgery

Hello: You can first consult a breast surgeon for an examination.
If you have any concerns, please return to your home country for a detailed check-up.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2015/07/17

More Info

Understanding breast lumps can be a source of anxiety, especially for young mothers like yourself. At 32 years old and having recently weaned your child, it’s important to be aware of the changes that can occur in breast tissue during and after breastfeeding.
The lump you described in your left breast, which is hard, immobile, and painless, could be a number of things. It’s crucial to remember that not all breast lumps are cancerous. Many benign conditions can cause lumps in the breast, especially in women who have recently stopped breastfeeding. Here are some possibilities:
1. Fibroadenoma: This is a common benign tumor made up of glandular and fibrous breast tissue. They are usually painless, firm, and can be movable. They are most common in younger women.

2. Cysts: These are fluid-filled sacs that can develop in the breast tissue. They can feel like a lump and may be tender, but many are asymptomatic. Cysts can fluctuate in size with your menstrual cycle.

3. Fibrocystic Changes: This is a condition characterized by lumpy or rope-like breast tissue, often accompanied by tenderness. It is related to hormonal changes and is common in women of childbearing age.

4. Galactocele: Since you were breastfeeding, a galactocele could form if a milk duct becomes blocked. This is a benign cyst that can occur when milk remains trapped in the duct.

5. Breast Cancer: While the majority of breast lumps are benign, it’s essential to rule out breast cancer, especially if the lump is new, persistent, and does not change with your menstrual cycle.

Given that you are currently living abroad and may not be able to return to Taiwan for a check-up for some time, here are some steps you can take:
- Self-Examination: Continue to monitor the lump. Note any changes in size, shape, or texture. Also, keep an eye out for any new symptoms, such as changes in the skin of the breast, nipple discharge, or pain.

- Consult a Local Physician: If possible, seek a local healthcare provider who can perform a clinical breast exam and possibly imaging studies like an ultrasound or mammogram. This can provide more information about the lump and help determine if further investigation is needed.

- Follow-Up: If the lump persists or changes, prioritize getting a follow-up examination. Early detection is key in managing any potential issues.

- Educate Yourself: Understanding breast health is crucial. Familiarize yourself with the signs and symptoms of breast conditions, and don’t hesitate to ask questions during medical appointments.

In summary, while the lump you’ve described could be benign, it’s essential to have it evaluated by a healthcare professional. Regular breast examinations and awareness of your body are vital components of breast health. If you experience any new symptoms or if the lump changes, seek medical attention promptly. Your health and peace of mind are paramount, so don’t hesitate to reach out for help.

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