Breast Lumps: Causes and When to Seek Help

Q: Breast Lumps: Causes and When to Seek Help

Dear Iou： It could also be a fibroepithelial tumor or a fibrocystic change. <br>If there are changes in size, it can be monitored; however, if there is a persistent increase in size or if symptoms occur, a consultation in the outpatient clinic is necessary.

Breast lump pain?

Hello Doctor, I discovered a large fibroma in June of the year before last and followed my doctor's advice to have it removed.
In early January of this year, I found another hard lump near the center of my left breast before my menstrual period.
It occasionally felt painful to the touch, was smooth on the surface, and could not be moved.
It disappeared afterward, but it reappeared before this month's menstrual period.
What could this lump be, Doctor? Thank you.

Iou, 20~29 year old female. Ask Date: 2016/02/01

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Iou: It could also be a fibroepithelial tumor or a fibrocystic change.
If there are changes in size, it can be monitored; however, if there is a persistent increase in size or if symptoms occur, a consultation in the outpatient clinic is necessary.

Reply Date: 2016/02/01

More Info

Breast lumps can be a source of concern for many individuals, and understanding their causes and when to seek medical help is crucial for maintaining breast health. Based on your description, it seems you have experienced a history of breast lumps, including a previously diagnosed fibroma that was surgically removed. Now, you are noticing a new lump that appears to be firm, smooth, and occasionally painful, particularly before your menstrual period.

Causes of Breast Lumps
1. Fibroadenomas: These are benign tumors made up of glandular and connective tissue. They are typically smooth, movable, and can vary in size. While they can cause discomfort, they are not cancerous.

2. Cysts: Fluid-filled sacs that can develop in the breast tissue. They may feel like lumps and can be tender, especially in relation to hormonal changes during the menstrual cycle.

3. Hormonal Changes: The menstrual cycle can cause breast tissue to swell and become lumpy due to hormonal fluctuations. This is often referred to as fibrocystic breast changes, which can lead to pain and lumpiness, particularly in the days leading up to menstruation.

4. Infections or Inflammatory Conditions: Conditions such as mastitis can cause lumps and pain in the breast, often accompanied by redness and swelling.

5. Breast Cancer: While less common, it is essential to consider that any new lump, especially one that is hard, immovable, or associated with changes in the skin or nipple discharge, should be evaluated by a healthcare professional.

When to Seek Help
Given your history of breast lumps and the new lump you have described, it is advisable to consult with a healthcare provider, particularly a breast specialist or a gynecologist. Here are some signs that warrant immediate medical attention:
- Persistent Lump: If the lump does not resolve after your menstrual period or continues to grow.

- Changes in Shape or Size: Any noticeable changes in the breast's appearance or the lump's characteristics.

- Pain: While some discomfort can be normal, significant or worsening pain should be evaluated.

- Skin Changes: Redness, dimpling, or puckering of the skin over the lump.

- Nipple Discharge: Any unusual discharge, especially if it is bloody or occurs without squeezing the nipple.

Recommended Actions
1. Clinical Examination: A thorough examination by a healthcare professional can help determine the nature of the lump. They may perform a physical exam and ask about your medical history.

2. Imaging Studies: Depending on the findings, your doctor may recommend a mammogram or breast ultrasound to further evaluate the lump's characteristics.

3. Biopsy: If there is any concern about the lump being cancerous, a biopsy may be performed to obtain tissue for analysis.

4. Monitoring: If the lump is determined to be benign, your doctor may recommend regular monitoring, especially if it is related to hormonal changes.

Conclusion
Breast health is an essential aspect of overall well-being, and being proactive about any changes is crucial. Given your previous experience with a fibroma and the current lump, it is wise to seek medical advice. Regular check-ups and self-examinations can help in early detection and management of any breast-related issues. Remember, while many breast lumps are benign, it is always better to err on the side of caution and consult with a healthcare professional for personalized advice and treatment options.

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