Is It Normal to Have a Lump in My Breast Since Puberty? - Breast and Thyroid

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Breast lump


Is it normal to have lumps in my breasts since the onset of development?

r, 10~19 year old female. Ask Date: 2016/03/11

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear r: If the lump is on both sides and movable, it is likely breast tissue, and observation is sufficient.

Reply Date: 2016/03/11

More Info


It is not uncommon for individuals to notice lumps or hard areas in their breasts starting from puberty. During this time, the body undergoes significant hormonal changes that can lead to the development of various breast tissue structures. These changes can result in the formation of lumps, which are often benign (non-cancerous) and related to normal breast tissue development.

Breast tissue is composed of glandular tissue, connective tissue, and fat. As a person goes through puberty, hormonal fluctuations, particularly involving estrogen and progesterone, can cause the glandular tissue to grow and change. This can lead to the formation of fibrocystic changes, which are characterized by lumpy or bumpy breast tissue. These changes are usually benign and can fluctuate with the menstrual cycle, often becoming more pronounced before menstruation due to hormonal influences.

However, while many lumps in the breast are benign, it is essential to monitor any changes in size, shape, or texture, as well as any associated symptoms such as pain, discharge, or changes in the skin over the breast. If the lump feels hard, is fixed in place, or has changed over time, it is advisable to consult a healthcare professional for further evaluation. They may recommend imaging studies, such as a mammogram or ultrasound, to assess the lump and determine its nature.

In some cases, lumps can be associated with conditions such as fibroadenomas (benign tumors), cysts, or, less commonly, breast cancer. Although breast cancer is rare in younger individuals, it is crucial to be aware of your body and report any unusual findings to a healthcare provider.

In summary, having a lump in the breast since puberty can be normal due to the hormonal changes and development of breast tissue. However, it is essential to remain vigilant and seek medical advice if there are any concerns or changes in the lump. Regular self-examinations and awareness of your breast health are vital components of overall well-being. If you have any doubts or experience new symptoms, do not hesitate to reach out to a healthcare professional for personalized advice and assessment.

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