Breast indentation and hard lumps around the breast?
I am a 14-year-old middle school student, and I have a retracted nipple on one side.
Both breasts have lumps, and I didn't notice when they started.
I am very scared that this could be breast cancer, but I am still very young.
I also don't know how to talk to my mom about this.
What could this condition be? What should I do?
Chen Tongxue, 10~19 year old female. Ask Date: 2015/11/23
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Student Chen: 1.
A young woman has lumps on both sides, mostly benign fibroadenomas; however, if they increase in size or present symptoms, an outpatient examination is recommended.
2.
Nipple inversion can sometimes be a constitutional issue; just monitor for any enlarging lumps beneath the nipple, but if there are lumps, an outpatient examination is advised.
Reply Date: 2015/11/23
More Info
It's completely understandable to feel anxious about changes in your breasts, especially at your age when your body is going through so many changes. First and foremost, it's important to reassure you that many breast changes during adolescence are normal and often related to the natural development of breast tissue.
Inverted nipples and lumps in the breast can be concerning, but in many cases, they are benign (non-cancerous) conditions. For young women like yourself, the presence of lumps is often due to normal breast tissue development, which can include the formation of fibrocystic changes or benign tumors such as fibroadenomas. These lumps can feel firm or rubbery and may be more noticeable at certain times of your menstrual cycle due to hormonal fluctuations.
Inverted nipples can also be a normal anatomical variation. They may become more pronounced during puberty as your breast tissue develops. However, if you notice any changes in the appearance of your nipples, such as discharge that is not normal for you, or if the inversion is new and accompanied by other symptoms like pain or a lump, it’s important to seek medical advice.
Here are some steps you can take:
1. Self-Examination: Regularly perform breast self-exams to familiarize yourself with the normal look and feel of your breasts. This will help you notice any changes more easily. When doing this, check for any lumps, changes in size or shape, or any unusual discharge from the nipples.
2. Talk to a Trusted Adult: It can be difficult to bring up these topics, but talking to a parent or guardian can be very helpful. They can provide support and may help you schedule an appointment with a healthcare provider.
3. Consult a Healthcare Provider: If you are concerned about the lumps or the inverted nipple, it’s best to see a healthcare professional. They can perform a physical examination and may recommend imaging tests like an ultrasound if necessary. This is especially important if the lumps change in size, shape, or if you experience pain.
4. Understand Hormonal Changes: Remember that hormonal changes during puberty can cause breast tissue to feel lumpy or tender. This is a normal part of development and often resolves over time.
5. Avoid Self-Diagnosis: While it’s easy to search for symptoms online, it can lead to unnecessary worry. Always consult a healthcare professional for accurate information and guidance.
6. Maintain Good Hygiene: Keep the breast area clean and dry. If you notice any unusual discharge, make sure to mention it to your doctor.
7. Stay Informed: Educate yourself about breast health. Understanding what is normal for your body can help alleviate fears and empower you to take charge of your health.
In summary, while it’s natural to feel concerned about changes in your breasts, many of these changes are normal during adolescence. However, if you have persistent concerns or notice any alarming symptoms, don’t hesitate to seek medical advice. Your health is important, and getting the right information and support can help you feel more at ease.
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