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Breast Lump: Symptom, Causes, Diagnosis and Treatment | Manipal Hospitals
Breast Lump: Symptom, Causes, Diagnosis and Treatment | Manipal Hospitals

Breast Lump

Posted On: Sep 27, 2024
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Breast Lump: Symptom, Causes, Diagnosis and Treatment

A detectable bulge or enlargement in the breast tissue is called a breast lump. Although the painful lump in the breast may indicate the presence of cancer, the majority of them are benign, or noncancerous, which is positive news but it is important to understand their nature, causes, and significance.

The breast is composed of glandular tissue, fatty tissue, and connective tissue. Lump formation can result from abnormal growths developing or from changes in these structures.

Highlighting important Calls to Action (CTAs) is crucial to addressing problems and promoting proactive breast health. People are advised to make an appointment with their doctor to thoroughly examine and evaluate the breast lump. Understanding the nature of the breast pain and the lump in one breast and choosing the best plan of treatment depends greatly on early discovery and expert medical attention.

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Which Symptoms of Breast Lump Should You Look Out For?

Symptoms of Breast Lump

A breast lump may present itself as a noticeable swelling, thickening, or mass in the breast tissue. It can be hard, soft, painful, or sometimes painless. Other symptoms include changes in breast size, shape, skin texture, and nipple discharge. Not all lumps are cancerous but they require thorough medical evaluation. When assessing a breast lump, take into account the following important breast cancer tumour symptoms:

  • Palpable Mass or Lump: The size, shape, and texture of a lump in the breast can vary. It may feel round, oval, or irregular and could be soft, hard, or rubbery. Lumps may also be moveable or fixed in place. It’s important to monitor any new or changing masses for further evaluation.

  • Pain or Discomfort: A lump might cause tenderness or pain in the breast. This discomfort can range from mild to severe and may become more noticeable during certain activities or when touched. However, some lumps may not cause any pain at all, even if they are prominent.

  • Changes to Breast Size or Form: You may notice a change in one breast's size or shape, such as swelling or shrinkage. This could happen suddenly or gradually. If one breast looks different from the other in a way that seems unusual, it’s a good idea to see a doctor.

  • Nipple Changes: Changes in the nipple, such as inversion, retraction, or discharge (which may be clear, bloody, or milky), can be signs of a breast issue. Nipple discharge without squeezing or any new abnormal shape warrants medical attention.

  • Skin Texture Changes: The skin over or around the lump may become red, dimpled (like the texture of an orange peel), or puckered. These changes can indicate inflammation or other underlying issues. Any noticeable changes to the breast's skin texture should be evaluated by a healthcare professional. 

  • Axillary, or the underarm Enlargement of the Lymph Nodes: Lymph nodes in the underarm area may become enlarged due to a lump affecting the surrounding lymphatic system. You might feel firm, swollen nodes in this region. This is an important sign to report to a doctor as it could indicate a spreading problem.

  • Swelling or Thickening: Breast tissue may become swollen or thicker than usual, not related to typical menstrual changes. This swelling may be localized or affect a larger area of the breast, and it might cause noticeable discomfort or a feeling of heaviness.

Book an appointment with expert Oncology Doctors at Manipal to get further assessment. 

What are the Potential Causes?

The broad spectrum of possible causes of breast lumps can be divided into the following categories:

  • Fibroadenomas: Fibroadenomas are solid, rubbery, noncancerous lumps that are common in younger women. They can feel smooth, and firm, and move easily under the skin. Typically painless, they may change size over time.

  • Fibrocystic Changes: Fibrocystic changes are caused by hormonal swings, often resulting in cyclical lumpiness and breast tenderness. These changes commonly occur before menstruation and affect both breasts. While uncomfortable, they are noncancerous.

  • Breast cysts: Breast cysts are fluid-filled sacs that can be painless or cause discomfort, depending on their size. Most cysts are benign and can fluctuate in size with menstrual cycles. They rarely require treatment.

  • Injuries: Breast trauma, such as a hit or injury, can lead to the formation of lumps. These lumps may be caused by fat necrosis or scar tissue, and though typically harmless, they should be monitored.

  • Infections: Infections like mastitis, often caused by breastfeeding, can lead to inflamed breast tissue and lump formation. Symptoms may include redness, swelling, warmth, and pain. Antibiotics are typically needed for treatment.

  • Less Common Causes: Less common causes of lumps include benign tumours, cancerous tumours, fat necrosis, or other conditions like lipomas. While rare, any unusual lump should be checked by a healthcare provider for further evaluation.

Determining the best course of action for treatment and diagnosis requires an understanding of the possible reasons. Frequent medical examinations and self-examinations are essential for early discovery and successful treatment.

How can Breast Lump be diagnosed?

Finding a lump doesn't have to be frightening. This is how doctors decipher the diagnosis:

  • Physical examination: Sense the size, texture, and mobility of your lymph nodes and breasts.

  • Imaging Tests:

    • Mammogram: Images taken with an X-ray to evaluate the structures inside the breasts.

    • MRI: A complex 3D image is produced by the magnetic field for additional assessment.

    • Ultrasound: Sound waves distinguish between fluid and solid materials, producing finely detailed images of lumps.

    • Biopsy: The process of extracting tissue samples for microscopic analysis to determine if it is benign or cancerous.

It's important to get diagnosed as soon as possible, therefore don't wait to see your doctor if you see a lump.

What Medical Treatments Are Offered for Breast Lump?

It's significant to remember that different methods of breast tumour treatment may be needed depending on the nature of the swelling in the breast, ranging from underlying the cause, and classification as benign or malignant. The following are a few treatments:

  • Clinical examination: A clinical examination involves discussing your symptoms, reviewing your medical history, and a physical check of the breast. The doctor will feel for lumps, changes in size, or tenderness.

  • Fine Needle Aspiration (FNA): FNA uses a thin, hollow needle to take a small tissue sample from the lump. This quick, minimally invasive test helps determine whether the lump is benign or cancerous.

  • Imaging Studies: Tests like mammograms or ultrasounds are used to get a clearer view of the lump’s size, shape, and texture. These images help doctors understand what’s going on inside the breast.

  • Biopsy: If FNA results are unclear, a biopsy may be recommended. In this procedure, a larger sample of tissue is taken from the lump for more detailed analysis to determine if it's cancerous.

  • Surgical Interventions: In some cases, surgery may be needed to remove certain types of lumps, especially if they are large, growing, or potentially harmful. This ensures the lump is fully examined.

  • Medication: If the lump is a benign cyst, treatments may include draining the cyst or prescribing hormonal medications to reduce its size or prevent recurrence. These approaches relieve discomfort.

  • Chemotherapy and Hormone Therapy: For cancerous lumps, systemic treatments like chemotherapy or hormone therapy may be used. These drugs target cancer cells throughout the body, helping to stop the spread or shrink tumours.

  • Radiation therapy: To eradicate any cancer cells that may have lingered after surgery and lower the chance of recurrence, radiation therapy may be advised.

Which at-home remedies exist?

Although home remedies cannot replace medical advice from a professional, there are lifestyle choices that can help maintain breast health:

  • Maintain healthy weight

  • Exercise regularly

  • Avoid alcohol

  • Quit smoking

  • Maintain a balanced diet rich in fruits and vegetables

  • Stay hydrated

When to see a doctor for a breast lump?

It's important to consult your doctor immediately if you detect a lump in your breast that hurts. Although the majority of lumps are not dangerous, it's necessary to screen out more dangerous illnesses, such as breast cancer. Results can be substantially enhanced by early detection and treatment. Schedule an appointment as soon as possible without thinking twice.

Understanding breast lumps, possible causes, and timely medical treatments are important for general health. Important measures include diagnosing the condition, seeking medical advice, and investigating treatment options. Certain breast health measures that can be done at home also serve as a supplement to medical care. Positive results are influenced by leading a healthy lifestyle, getting frequent checkups, and starting early. It is always recommended to consult with your doctor for specific advice on how to treat your breast discomfort. Consult our Cancer Care at Manipal to map out our ideal treatment plan.

FAQs

1. What are the causes of breast lumps?

There are several reasons why breast lumps develop; these include hormonal fluctuations, benign illnesses such as cysts or fibroadenomas, as well as more serious problems including infections or cancer. For a precise diagnosis, speaking with a medical practitioner is essential.

2. When should I be concerned about a breast lump?

Even though not every breast lump is malignant, it's important to be aware of several symptoms. You should get medical help right away for a complete assessment if you observe any changes in size or texture, or if you are in constant agony.

3. How can I perform a breast self-exam at home?

Regular self-examinations of the breast aid in early detection. Examine the area for any odd lumps, alterations in size or shape, irregularities in the nipples, skin texture, or ongoing soreness. Consult with your doctors if you see anything troubling.

4. I discovered a breast lump. Do I need to worry? 

It's important to have breast lumps examined by a doctor to be sure, even if the majority are not malignant. To rule out any underlying concerns, make an appointment rather than becoming anxious.

5. Are all breast lumps cancerous?

Nonetheless, to rule out any potential health issues, each new or odd lump has to be examined by a specialist.

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