Breast Lumps: What Young Women Should Know

There is a lump in the breast?

I have noticed a lump in my left breast that seems to have appeared at some point.
It is clearly a distinct lump that I can pinch and move.
Sometimes it gets larger, and other times it gets smaller; most of the time, it is larger and does not hurt much.
Additionally, my nipple has not changed color or discharged anything.
I just turned 19, and I am unsure if this could be breast cancer.

Pipi, 10~19 year old female. Ask Date: 2015/07/27

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Pi Pi,
Hello.
At your age, it is possible that you have a fibroid, which may fluctuate in size with your menstrual cycle.
However, if it continues to grow, I recommend seeking an outpatient examination.

Wishing you peace and good health.

Sincerely,
Director of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare,
Zhou Jiazheng

Reply Date: 2015/07/27

More Info

Understanding breast lumps can be a source of anxiety, especially for young women who may not be familiar with the changes their bodies undergo. It’s important to approach this topic with a clear understanding of what breast lumps can signify and when to seek medical advice.

Firstly, it’s essential to recognize that breast lumps are relatively common among women of all ages, including teenagers. The majority of breast lumps in young women are benign (non-cancerous) and can be attributed to various factors, including hormonal changes, cysts, or fibrocystic breast changes. These benign conditions often present as movable lumps that can vary in size and may not be painful.
In your case, the lump you described in your left breast that is movable and changes in size is likely a benign condition, such as a fibroadenoma or a cyst. Fibroadenomas are solid, non-cancerous tumors that are most common in young women and can feel like a firm, smooth lump. They are usually painless and can fluctuate in size due to hormonal influences, particularly during your menstrual cycle. Cysts, on the other hand, are fluid-filled sacs that can also feel like lumps and may change in size with hormonal fluctuations.

Despite the likelihood of benign conditions, it is crucial to monitor any changes in your breast. Here are some key points to consider:
1. Self-Examination: Regular breast self-exams can help you become familiar with the normal texture and feel of your breasts. This way, you can more easily identify any changes. When performing a self-exam, check for lumps, changes in size, or any unusual pain.

2. When to Seek Medical Advice: If you notice any of the following, it’s important to consult a healthcare professional:
- A lump that persists or grows over time.

- Changes in the skin of the breast, such as dimpling or redness.

- Any discharge from the nipple, especially if it is bloody or clear.

- Changes in the shape or contour of the breast.

- Persistent pain that is not related to your menstrual cycle.

3. Medical Evaluation: If you have concerns about the lump, a healthcare provider may recommend imaging tests such as an ultrasound or a mammogram, depending on your age and the characteristics of the lump. These tests can help determine the nature of the lump and whether further evaluation is necessary.

4. Understanding Risk Factors: While breast cancer is rare in young women, it is not impossible. Factors that can increase the risk include a family history of breast cancer, genetic mutations (such as BRCA1 or BRCA2), and certain lifestyle factors. However, the presence of a lump does not automatically indicate cancer, especially in your age group.

5. Healthy Lifestyle Choices: Maintaining a healthy lifestyle can contribute to overall breast health. This includes regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption.

In conclusion, while the lump you are experiencing is likely benign, it is essential to remain vigilant and proactive about your breast health. Regular self-exams, awareness of your body, and timely medical consultations can help ensure that any potential issues are addressed early. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for a thorough evaluation and peace of mind.

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