Breast Lumps: Concerns for Teens and Weight Impact - Oncology

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Breast lump?


I have lumps in both of my breasts, which I remember having since around the 6th grade (I'm currently in the 9th grade and a bit chubby, but not overweight).
The lumps are approximately within the area of the areola (they're not very large), but I feel they are somewhat big, and the right side is larger than the left.
I've had them for a while, so I'm worried if this could be related to my weight.
I am 175 cm tall and weigh 70 kg.

Azhong, 10~19 year old female. Ask Date: 2016/03/01

Dr. Lai Yicheng reply Oncology


Dear student,
Thank you for your letter.
Here is my response: Your height is 175 cm and weight is 70 kg, which indicates a robust physique.
The lumps are located near both areolas (right > left).

1.
Do you enjoy eating fried chicken? Chicken contains a significant amount of hormones (growth hormones) that promote rapid growth in poultry.
If consumed in large quantities over an extended period, chicken products may lead to the retention of growth hormones in the body, potentially resulting in gynecomastia in males.
2.
I recommend that you undergo a breast examination by a specialist.
If you wish to seek treatment at our hospital, we can arrange for you to see a specialist.
Thank you for your inquiry.

Sincerely,
Dr.
Lai Yi-Cheng
Department of Radiation Oncology
Changhua Hospital

Reply Date: 2016/03/01

More Info


Breast lumps in adolescents can be a source of concern, especially when they have been present for an extended period. In your case, you mentioned that you have noticed lumps in both breasts since around the sixth grade, and you are currently in the ninth grade. You also described your body type as being somewhat overweight, with a height of 175 cm and a weight of 70 kg.
First, it's important to understand that breast tissue can undergo various changes during puberty due to hormonal fluctuations. During this time, the body produces increased levels of estrogen, which can lead to the development of breast tissue and, in some cases, benign lumps. These lumps are often referred to as fibrocystic changes, which are common and typically not a cause for alarm. They can feel like small, movable lumps and may vary in size and tenderness, especially in relation to your menstrual cycle.

The fact that you have noticed these lumps for several years suggests that they are likely benign, especially if they have not changed significantly in size or shape. However, the asymmetry you mentioned—where one breast appears larger than the other—is also quite common. Many individuals have some degree of breast asymmetry, and this can be influenced by various factors, including genetics and hormonal changes.

Regarding your concern about weight, it is true that body fat can influence breast size and the appearance of breast tissue. Fatty tissue can contribute to the overall size of the breasts, and in some cases, excess weight can lead to the development of more pronounced breast tissue. However, the presence of lumps is not solely attributable to body weight. It is essential to differentiate between fatty tissue and glandular tissue, as the latter can sometimes form lumps.

If you are feeling anxious about the lumps, it is advisable to consult a healthcare professional, such as a pediatrician or a breast specialist. They can perform a physical examination and, if necessary, recommend imaging studies like an ultrasound or mammogram to assess the lumps further. This will help provide clarity and peace of mind.

In addition to seeking medical advice, maintaining a healthy lifestyle can be beneficial. Regular physical activity, a balanced diet, and staying hydrated can help manage weight and overall health. Exercise, such as push-ups or other strength training, can also improve muscle tone and body composition, which may positively affect how you feel about your body.

In summary, while breast lumps can be concerning, they are often benign, especially in adolescents. It is essential to monitor any changes and consult a healthcare provider for a thorough evaluation. Remember that your health and well-being are the top priorities, and addressing your concerns with a professional can provide you with the reassurance you need.

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