Breast lump
Hello Doctor: I have had a hard lump in my right breast since puberty, and it is still present now that I am 25 years old.
It does not hurt unless I press on it.
I am not sure what is going on.
If it is a fibrocystic lump, what should I do at the hospital?
Susan, 20~29 year old female. Ask Date: 2016/01/31
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Susan: If there is no enlargement and no symptoms, observation is sufficient.
It is recommended to have a check-up at the outpatient clinic for those over 30 years old.
Reply Date: 2016/01/31
More Info
Fibrocystic changes in the breast are a common condition that many women experience, particularly during their reproductive years. These changes can manifest as lumps or areas of thickened tissue in the breast, and they are often associated with hormonal fluctuations throughout the menstrual cycle. Understanding these changes is crucial for managing breast health and alleviating concerns regarding potential malignancies.
Fibrocystic breast changes can include a variety of symptoms and findings, such as the presence of cysts (fluid-filled sacs), fibrosis (thickening of the breast tissue), and adenosis (an increase in the number of glands). These changes are typically benign, meaning they are not cancerous. The lumps you feel in your breast may be due to these fibrocystic changes, which can cause the breast tissue to feel lumpy or rope-like. It's important to note that these lumps may become more pronounced or tender in the days leading up to your menstrual period due to hormonal influences.
In your case, since you have had a hard lump in your right breast since puberty and it has not caused pain unless pressed, it is likely a benign fibrocystic change. However, it is essential to monitor any changes in the lump, such as an increase in size, changes in shape, or the onset of pain. Regular self-examinations and clinical breast exams are vital for tracking these changes.
If you suspect that the lump is a fibrocystic change, it is advisable to consult with a healthcare provider, preferably a breast specialist. They may recommend imaging studies such as a mammogram or breast ultrasound to evaluate the lump further. These imaging techniques can help differentiate between benign conditions like fibrocystic changes and more serious issues, including breast cancer.
In some cases, if the lump is particularly large or causing discomfort, a healthcare provider may suggest a biopsy to rule out any malignancy. A needle biopsy can provide a definitive diagnosis by examining the tissue under a microscope.
In summary, while fibrocystic changes are generally benign and common among women, it is crucial to maintain regular check-ups and communicate any changes in your breast health to your healthcare provider. They can guide you on the appropriate steps to take, which may include monitoring the lump, imaging studies, or further evaluation if necessary. Remember, being proactive about your breast health is key to ensuring your well-being.
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