Breast Nodules: What to Do When You Find a Lump

Q: Breast Nodules: What to Do When You Find a Lump

Dear Ah Xiang： 1. More cases of gynecomastia in small males. 2. Observe for no enlargement. 3. If there is enlargement or symptoms (pain, hardness, discharge, etc.), it is recommended to seek outpatient examination.

There is a lump beneath the left areola?

Hello Dr.
Zhou,
My name is Ah Xiang.
Last night while showering, I noticed a lump under the left areola that is about the size of the entire areola.
It is slightly painful when pressed.
I also have a vague memory of noticing a lump in the left areola when I was younger (around elementary school age).
The right breast does not have any of these symptoms.
Therefore, I would like to ask Dr.
Zhou:
1.
Based on my situation, what possible conditions could this be according to your diagnosis?
2.
What should I do at this point? Should I continue to observe it or seek medical attention immediately?
3.
If I need to seek medical attention, can I go to a general clinic for diagnosis and treatment, or do I need to visit a specialized department at a major hospital?
Thank you for taking the time to respond.
Best wishes.

Axiang, 30~39 year old female. Ask Date: 2015/11/20

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Ah Xiang: 1.
More cases of gynecomastia in small males.
2.
Observe for no enlargement.
3.
If there is enlargement or symptoms (pain, hardness, discharge, etc.), it is recommended to seek outpatient examination.

Reply Date: 2015/11/20

More Info

Dear Ah Xiang,
Thank you for reaching out with your concerns regarding the lump you discovered in your left breast. It's completely understandable to feel anxious when you find something unusual in your body, and I'm here to help clarify your situation.

1. Possible Conditions: Based on your description, the lump you felt under the areola (nipple area) could be due to several benign conditions, such as a fibroadenoma, which is a common non-cancerous breast tumor, or a cyst, which is a fluid-filled sac. Given that you mentioned having a similar lump since childhood, it may be a stable condition that hasn't changed significantly over the years. However, the tenderness you are experiencing could indicate hormonal changes, especially if it coincides with your menstrual cycle. Other possibilities include hormonal changes leading to breast tissue changes or even a condition known as mastitis if there is inflammation. While these are common benign conditions, it’s crucial to have any new or changing lumps evaluated by a healthcare professional.

2. Next Steps: I recommend that you do not ignore this finding. It would be prudent to schedule an appointment with a healthcare provider, preferably a breast specialist or a gynecologist, who can perform a clinical breast examination. They may recommend imaging studies such as a breast ultrasound or mammogram to further evaluate the lump. Continuous observation might be appropriate if the lump is stable and not causing any discomfort, but given that you have noted some pain and changes, seeking medical advice sooner rather than later is advisable.

3. Where to Seek Care: You can start by visiting a general practitioner or a gynecologist at a local clinic. They can perform an initial evaluation and determine if further imaging or referral to a specialist is necessary. If the lump is concerning or if you have a family history of breast cancer, they may refer you to a breast clinic or a larger hospital with specialized services. It’s essential to have a thorough evaluation, especially since breast health is a critical aspect of overall well-being.

In summary, while many breast lumps are benign, it’s essential to have any new or painful lumps evaluated by a healthcare professional. Early assessment can provide peace of mind and ensure that any necessary treatment is initiated promptly. Please do not hesitate to reach out to a healthcare provider soon, and take care of yourself.

Best wishes for your health,
Doctor Q&A Teams

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