Understanding Breast Lumps

A Comprehensive Guide to Breast Changes and When to Seek Care

Oncology

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Last updated: Mar 24, 2025

What Is a Breast Lump?

A breast lump is any mass or thickening in breast tissue that feels different from the surrounding tissue. Lumps can vary in:

  • Size
  • Texture (soft, firm, or hard)
  • Location
  • Mobility (fixed or movable)

Common Types of Breast Lumps

Non-Cancerous (Benign) Lumps

  1. Fibroadenomas

    • Most common in women aged 20-30
    • Firm, smooth, and mobile
    • Usually painless
  2. Cysts

    • Fluid-filled sacs
    • More common in pre-menopausal women
    • Can be tender, especially before menstruation
  3. Fibrocystic Changes

    • Normal hormonal changes
    • Often bilateral and cyclical
    • May cause lumpiness and tenderness

Potentially Cancerous (Malignant) Lumps

  • Usually hard and irregular
  • Often fixed in position
  • May cause skin changes or nipple discharge
  • Typically painless

When to See a Doctor

Seek medical attention if you notice:

  • A new lump
  • Changes in existing lumps
  • Skin dimpling or puckering
  • Nipple changes or discharge
  • Breast pain that doesn't resolve

Diagnostic Procedures

  1. Clinical breast examination
  2. Imaging tests:
    • Mammogram
    • Ultrasound
    • MRI (in specific cases)
  3. Biopsy (if required)

Risk Factors

  • Age
  • Family history
  • Personal history of breast conditions
  • Hormonal factors
  • Lifestyle factors

Prevention and Monitoring

  1. Regular self-examinations
  2. Annual clinical breast exams
  3. Mammogram screening as recommended
  4. Healthy lifestyle choices

Treatment Options

Depend on diagnosis and may include:

  • Monitoring (watch and wait)
  • Medication
  • Needle aspiration for cysts
  • Surgical removal
  • Cancer treatment if malignant

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