Breast Lumps: Concerns About Cancer and Benign Conditions

Breast lump

Hello Dr.
Zhou, I have recently noticed a hard lump in the center above my right nipple when lying down.
The sensation feels different compared to the left side, and I'm unsure if it's a lump or just a larger area.
There is slight pain when I press on it, and sometimes I feel a mild stabbing pain even when I'm not touching it.
I'm unclear about what constitutes a "movable" lump, which makes me quite anxious about potential issues.
I had a physical examination in mid-June, and the report indicated suspected benign breast disease and fibrocystic changes, with several cysts on both sides—four on the left side, the largest being 1.09 cm, and three on the right side, the largest being 0.53 cm.
I was advised to follow up in three months.
Is there a chance that this could worsen in such a short time? Given that it's been just over a month since my examination, is there a possibility of developing breast cancer?

Yang Yang, 30~39 year old female. Ask Date: 2015/08/04

Dr. Zhou Jiazhen reply Breast and Thyroid

Hello,
1.
Use your index and middle fingers to perform a self-examination of your breasts, feeling for any firm lumps that do not move.
Everyone's sensation may differ, so rely on your own feelings.
If you suspect something like a tumor, monitor it for any changes, such as growth or unusual pain, and seek a consultation if necessary.

2.
No examination is 100% conclusive.
If you notice any abnormalities, observe whether the symptoms persist or worsen, and feel free to seek further evaluation at any time.

Wishing you peace and health,
Dr.
Chou Chia-Cheng, Chief of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/08/04

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the breast lump you have discovered. It is completely understandable to feel anxious when you notice changes in your body, especially in an area as sensitive as the breast. Let’s break down your concerns and provide some clarity on the situation.

Firstly, it is important to understand that breast lumps can arise from a variety of conditions, both benign (non-cancerous) and malignant (cancerous). The fact that you recently underwent a physical examination in June, which indicated benign conditions such as fibrocystic changes and benign hyperplasia, is a positive sign. These conditions are quite common and often do not lead to breast cancer. However, it is essential to remain vigilant and monitor any changes.

Regarding the lump you felt above your right nipple, the characteristics you describe—such as the sensation of hardness, slight pain upon pressure, and intermittent sharp pain—are worth noting. Benign lumps, such as cysts or fibroadenomas, can also present with these symptoms. The term "mobile" in the context of breast lumps typically refers to whether the lump can be moved around under the skin. A lump that feels fixed or adherent to the underlying tissue may warrant further investigation.

You mentioned that you have several cysts, with the largest measuring 1.09 cm on the left side and 0.53 cm on the right. Cysts can fluctuate in size and may cause discomfort, especially if they become inflamed or if there is hormonal influence. It is not uncommon for benign conditions to cause pain or discomfort, and this does not necessarily indicate the presence of cancer.

As for your concern about the possibility of cancer developing in a short time frame, it is generally unlikely for a benign condition to transform into cancer within just a month. Breast cancer typically develops over a longer period, and the presence of benign findings in your recent examination is reassuring. However, it is crucial to follow up as recommended by your healthcare provider.

You mentioned that you are scheduled for a follow-up in three months. This is a standard practice to monitor any changes in breast lumps. If you notice any significant changes, such as an increase in size, changes in shape, or new symptoms (like persistent pain or discharge), it is advisable to contact your healthcare provider sooner.

In summary, while it is natural to feel concerned about any new lump in your breast, the recent findings of benign conditions and the characteristics of your lump suggest that it may not be cancerous. However, continuous monitoring and open communication with your healthcare provider are key. If you have further questions or if your symptoms change, do not hesitate to seek medical advice.

Take care of yourself, and remember that early detection and regular follow-ups are essential for maintaining breast health.

Best regards.

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