Breast Lumps: What You Need to Know About Changes in Your Breasts

Q: Breast Lumps: What You Need to Know About Changes in Your Breasts

Dear Tako： It is primarily breast tissue; observation is sufficient. <br>If you notice any asymmetry or enlargement, you may seek an outpatient examination.

Breast lump

I would like to ask about something I haven't paid much attention to before.
Recently, I noticed that when I press around both nipples, I can feel a noticeable hardness.
However, it doesn't hurt much when I press.
The left breast is slightly larger than the right, and the lump is also a bit bigger.
Is it normal to have hardness around the nipples, or is there something else? My period is due in about three days, but I noticed this about one or two weeks ago, and I don't feel it has increased in size.
Thank you, doctor.

Tako, 10~19 year old female. Ask Date: 2016/03/07

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Tako: It is primarily breast tissue; observation is sufficient.
If you notice any asymmetry or enlargement, you may seek an outpatient examination.

Reply Date: 2016/03/07

More Info

When it comes to breast health, noticing changes such as lumps or discomfort can understandably cause concern. Based on your description, it seems you have observed some firmness around the areolae of both breasts, with the left breast being slightly larger and the lump more pronounced. It's important to address these findings with a comprehensive understanding of breast anatomy and physiology.

Firstly, it's essential to recognize that breast tissue is composed of glandular tissue, connective tissue, and fat. The glandular tissue is responsible for milk production and can become more prominent during certain phases of the menstrual cycle due to hormonal fluctuations. This is particularly relevant since you mentioned that your menstrual period is approaching. Many women experience changes in breast tissue density and sensitivity in the days leading up to their period, which can sometimes manifest as lumps or areas of firmness.

The presence of firm areas around the areola can be normal, especially if they are not painful and do not change significantly over time. These areas could be related to normal breast tissue variations, hormonal influences, or even benign conditions such as fibrocystic breast changes, which are common and often benign. However, it is crucial to differentiate between normal variations and potential concerns.

You mentioned that the lumps are not painful upon pressure, which is a positive sign. Painful lumps are more concerning and warrant further investigation. Non-painful lumps can still be a cause for concern, especially if they are new, persistent, or changing in size or shape. The asymmetry you noted, with the left breast being larger, is also not uncommon, as many women have slight differences in breast size and shape.

Given your situation, it is advisable to monitor these changes closely. If the lumps remain stable and do not cause discomfort, you may choose to observe them for a few menstrual cycles. However, if you notice any changes—such as an increase in size, the development of pain, or any unusual discharge from the nipples—it would be prudent to consult a healthcare professional for further evaluation.

In terms of breast health, regular self-examinations are key. It is recommended to perform these examinations about a week after your menstrual period ends when the breasts are less likely to be swollen or tender. This allows for a more accurate assessment of any changes. If you are unsure about how to perform a self-exam, many resources are available that can guide you through the process.

Additionally, if you have a family history of breast cancer or other risk factors, it may be beneficial to discuss these findings with a healthcare provider sooner rather than later. They may recommend imaging studies, such as a mammogram or ultrasound, to further evaluate the lumps and ensure there are no underlying issues.

In conclusion, while changes in breast tissue can often be benign and related to hormonal fluctuations, it is essential to remain vigilant and proactive about your breast health. Regular monitoring and self-examinations, along with professional evaluations when necessary, are crucial steps in maintaining breast health and addressing any concerns that may arise. If you have any further questions or if your symptoms change, do not hesitate to seek medical advice. Your health and peace of mind are paramount.

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