Breast Lumps: When to See a Doctor for Painful Symptoms - Breast and Thyroid

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Breast lump


Doctor, I found a painful lump next to my nipple that hurts even without touching it.
The surface looks similar to a bruise.
What could this be? Should I see a doctor for an examination?

Cindy, 30~39 year old female. Ask Date: 2015/11/28

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Cindy: Most lumps are caused by the obstruction of skin glands and may sometimes be painful.
Please monitor for any increase in size, redness, swelling, or warmth.
If any of these symptoms occur, it is advisable to seek an outpatient examination.

Reply Date: 2015/11/28

More Info


Breast lumps can be a source of concern for many individuals, especially when accompanied by pain or other symptoms. It is essential to understand what these lumps might indicate and when it is necessary to seek medical attention. Based on your description of a painful lump near the nipple that resembles a bruise, there are several potential causes to consider.

Firstly, breast lumps can arise from various conditions, including benign (non-cancerous) and malignant (cancerous) growths. Common benign conditions include cysts, fibroadenomas, and infections such as mastitis or abscesses. Cysts are fluid-filled sacs that can develop in the breast tissue and may cause discomfort, especially if they become large or inflamed. Fibroadenomas are solid, benign tumors that can also be painful, particularly if they are pressing against surrounding tissues.

In your case, the lump's description as painful and resembling a bruise could suggest a few possibilities. One potential cause is a condition known as a sebaceous cyst, which occurs when a hair follicle becomes blocked, leading to a buildup of oil and debris. These cysts can become inflamed and painful, especially if they become infected. Another possibility is a localized infection or inflammation in the breast tissue, which can occur due to various reasons, including hormonal changes or physical trauma.

It is crucial to note that any new or unusual breast lump, especially one that is painful, warrants a thorough evaluation by a healthcare professional. While many breast lumps are benign, it is essential to rule out any serious conditions, including breast cancer. The presence of pain, changes in the skin over the lump, or any discharge from the nipple can be additional red flags that should prompt immediate medical attention.

When you visit a healthcare provider, they will likely perform a physical examination and may recommend imaging studies such as a mammogram or breast ultrasound to assess the lump further. These tests can help determine the nature of the lump and guide any necessary treatment. In some cases, a biopsy may be required to obtain a definitive diagnosis.

In summary, if you have discovered a painful lump near your nipple that resembles a bruise, it is advisable to seek medical attention promptly. Early evaluation and diagnosis are crucial in managing breast health effectively. Remember that while many breast lumps are benign, it is always better to err on the side of caution and consult with a healthcare professional to ensure your health and peace of mind.

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