Breast Lumps in Teenagers: What You Need to Know - Obstetrics and Gynecology

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Breast lump


Hello doctor, I am 17 years old.
Recently, I found a small hard lump in my breast.
Could it be something serious? My menstrual period is also about to start.

mandy, 10~19 year old female. Ask Date: 2016/02/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to see a surgeon.
Wishing you good health.

Reply Date: 2016/02/05

More Info


When it comes to breast lumps in teenagers, it's important to understand that many changes occur during puberty due to hormonal fluctuations. At 17 years old, your body is still undergoing significant development, and breast tissue can be particularly sensitive to these changes.
Breast lumps in adolescents are often benign, meaning they are not cancerous. The most common types of lumps you might encounter include fibroadenomas, which are solid, non-cancerous tumors made up of glandular and connective tissue. These lumps can feel firm and may move slightly when you touch them. Hormonal changes during your menstrual cycle can also cause breast tissue to swell and become tender, leading to the sensation of lumps or bumps.

Given that you mentioned you are close to your menstrual period, it's possible that the lump you are feeling is related to hormonal changes. Many young women experience breast tenderness and lumpiness in the days leading up to their periods due to increased estrogen levels, which can cause the breast tissue to swell. This is often referred to as cyclical breast pain or mastalgia.

However, it is essential to monitor the lump closely. Here are some key points to consider:
1. Size and Shape: If the lump is small, firm, and movable, it is more likely to be benign. If it changes in size, becomes hard, or is fixed in place, this could warrant further evaluation.

2. Pain: While some discomfort can be normal, especially around your menstrual cycle, persistent pain that is not related to your cycle should be evaluated.

3. Changes Over Time: Keep track of any changes in the lump over the next few weeks. If it persists after your menstrual cycle or if you notice any new lumps, it would be wise to consult a healthcare professional.

4. Self-Examination: Regular breast self-exams can help you become familiar with your breast tissue. This way, you can more easily identify any changes. It’s best to perform these exams a few days after your period when your breasts are less likely to be swollen or tender.

5. Consultation: If you have any concerns about the lump or if you notice any unusual changes, such as discharge from the nipple, changes in the skin of the breast, or if the lump feels different from what you have previously felt, it is advisable to see a healthcare provider. They may recommend a clinical breast exam or imaging studies like an ultrasound to further evaluate the lump.

In summary, while it is common for teenagers to experience breast lumps due to hormonal changes, it is crucial to stay vigilant and aware of your body. If you have any doubts or concerns, don't hesitate to reach out to a healthcare professional for peace of mind and proper evaluation. Remember, early detection and understanding your body are key components of maintaining breast health.

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