Sudden Chest Lump: Causes, Concerns, and When to Seek Help

Sudden lump in the chest?

Hello, I would like to ask about a sudden discovery of a hard lump on the left side of my chest that is painful to touch, and the surrounding skin also hurts when pressed.
I have had multiple fibroadenomas diagnosed in previous years through ultrasound examinations at a major hospital.
Given that this time the lump is painful to touch, could it be a different condition, or is it still related to the fibroadenomas?

s, 20~29 year old female. Ask Date: 2016/02/24

Dr. Li Zhonghuai reply Surgery

Hello! Please have an ultrasound performed by the same physician in either general surgery or breast surgery.
It is important to have continuity of care with the same doctor for long-term monitoring.
Breast cancer is becoming more prevalent among younger individuals, and any tumor, even if it appears benign on ultrasound, should be addressed if it increases in size.
Changhua Hospital cares about you!

Reply Date: 2016/02/24

More Info

Hello! It sounds like you are experiencing some concerning symptoms with the sudden appearance of a lump on the left side of your chest, accompanied by pain both at the site of the lump and in the surrounding skin. Given your history of multiple fibroadenomas (which are benign breast tumors), it’s understandable to be worried about this new development.

Fibroadenomas are generally non-cancerous and are common in younger women. They can sometimes change in size or become tender, especially in relation to hormonal fluctuations during the menstrual cycle. However, the sudden onset of pain and the presence of a new lump warrant further investigation to rule out any other potential issues.

Here are some possible causes for the lump and pain you are experiencing:
1. Fibroadenoma Changes: As mentioned, fibroadenomas can sometimes become painful or change in size. If the lump you are feeling is indeed a fibroadenoma, it could be reacting to hormonal changes or other factors.

2. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can be tender and may feel like a lump. Cysts can also fluctuate in size and tenderness.

3. Infection or Inflammation: Conditions such as mastitis (an infection of breast tissue) or a localized inflammatory response can cause pain and swelling in the breast area. This is often accompanied by redness and warmth in the affected area.

4. Other Benign Tumors: There are other types of benign breast tumors, such as phyllodes tumors, which can also present as lumps. While these are less common, they can cause discomfort.

5. Malignant Conditions: Although less likely, any new lump in the breast should be evaluated to rule out breast cancer or other malignancies, especially if there are changes in the characteristics of the lump or if you have a family history of breast cancer.

Given your symptoms and history, it is crucial to seek medical attention. Here are some steps you should consider:
- Schedule a Doctor’s Appointment: A healthcare provider can perform a physical examination and may recommend imaging studies such as an ultrasound or mammogram to assess the lump further.

- Discuss Your Symptoms: Be sure to inform your doctor about the pain, the characteristics of the lump, and any other symptoms you may be experiencing, such as changes in your menstrual cycle or any recent trauma to the area.

- Follow-Up on Previous Findings: Since you have a history of fibroadenomas, it’s important to discuss any changes since your last ultrasound and whether any follow-up is needed.

- Consider a Biopsy: If there is any concern about the nature of the lump, your doctor may recommend a biopsy to obtain a tissue sample for further analysis.

In summary, while the lump could be related to your existing fibroadenomas, the sudden pain and changes in your breast tissue should not be ignored. Early evaluation and diagnosis are key to addressing any potential issues effectively. Remember, it’s always better to err on the side of caution when it comes to changes in your body. Take care, and I hope you find the answers you need soon!

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