Breast Lumps: When to Seek Medical Advice

Q: Breast Lumps: When to Seek Medical Advice

Hello： Sometimes it is just fibrocystic breast changes, but you should monitor for any persistent enlargement. <br>If you are unsure, it is recommended to have an outpatient examination.

Feeling small lumps in the chest?

Hello Doctor: About two months ago, I noticed a small, movable lump in the lower inner part of my left breast while showering.
It doesn't feel too hard, but it has a texture similar to a cord.
It can be painful to the touch, especially close to my menstrual period, but I don't feel it much otherwise.
It's more noticeable when I lie down.
I have no other symptoms and would like to know if this is normal.
Is it normal breast tissue or could it be a tumor? I'm a bit worried, but I've been busy lately and wanted to inquire about the possible causes before scheduling an examination.
Additionally, should I get a breast ultrasound for this?

MM, 20~29 year old female. Ask Date: 2015/12/16

Dr. Zhou Jiazhen reply Breast and Thyroid

Hello: Sometimes it is just fibrocystic breast changes, but you should monitor for any persistent enlargement.
If you are unsure, it is recommended to have an outpatient examination.

Reply Date: 2015/12/16

More Info

When it comes to breast lumps, it is essential to understand the various factors that can contribute to their formation and the appropriate steps to take when you notice changes in your breast tissue. Based on your description, it sounds like you have detected a lump in your left breast that is movable and somewhat painful, particularly around your menstrual cycle. This could be indicative of several conditions, ranging from normal physiological changes to more concerning issues.

Firstly, it is important to recognize that breast tissue can undergo various changes due to hormonal fluctuations, especially in relation to the menstrual cycle. Conditions such as fibrocystic breast changes are quite common and can lead to the development of lumps that may feel like small cysts or fibrous tissue. These changes are often benign and can be influenced by estrogen levels, which fluctuate throughout the menstrual cycle.

However, given that you have noticed a lump that is painful upon pressure, it is prudent to seek medical advice. While many breast lumps are benign, it is crucial to rule out any potential malignancies. The fact that the lump is movable and not hard is generally a reassuring sign, but it does not eliminate the need for further evaluation.

In terms of diagnostic procedures, a breast ultrasound is a commonly recommended first step when evaluating breast lumps. This imaging technique can help differentiate between solid masses and fluid-filled cysts, providing valuable information about the nature of the lump. If the ultrasound findings are inconclusive or if there are any concerning features, your healthcare provider may recommend additional imaging, such as a mammogram or even a biopsy, to obtain a definitive diagnosis.

It is also important to consider your personal and family medical history when assessing the risk of breast cancer. Factors such as age, family history of breast cancer, and any previous breast conditions can influence your risk level. If you have a family history of breast cancer or other risk factors, it is even more critical to seek timely evaluation.

In conclusion, while the lump you have described may be a benign condition related to hormonal changes, it is essential to consult with a healthcare provider for a thorough evaluation. A breast ultrasound is a reasonable next step to assess the lump further. Remember, early detection and diagnosis are key in managing any breast-related issues effectively. Do not hesitate to reach out to a healthcare professional to discuss your concerns and get the appropriate care. Your health and peace of mind are paramount, and addressing these changes promptly can lead to better outcomes.

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