Are Breast Lumps Always a Cause for Concern?

Finding a lump in your breast is naturally concerning, but it's important not to jump to the worst case scenario. While you may fear cancer, there are a number of other possible noncancerous explanations.

At his private practice in Santa Monica, California, Dr. Trevan Fischer uses the latest surgical techniques to treat cancers of the breast and skin, soft tissue sarcomas, and, when necessary, benign breast diseases. He also stays up-to-date on the latest medical breakthroughs through his work on clinical trials and as an assistant program director at the John Wayne Cancer Institute. Here he explains the types of benign breast lumps you may encounter. 

Breast lumps

Every woman's breasts are a little different. Some women have breast tissue that feels lumpy or ropy under normal circumstances. Others experience off-and-on tenderness related to their menstrual cycle. 

But when something feels different than usual, it's always important to see a doctor for a proper diagnosis and to rule out anything serious.

Lumps can present in a variety of ways, from smooth, firm, and round to irregular and hard. In some cases they also move under your skin. Other warning signs to look out for include skin that’s red or dimpled, fluid leaking from your nipple, or your breast changing in shape or size.

Benign breast diseases

There are a variety of benign breast diseases that can account for many of those changes to your breast. Here are a few possibilities for your strange breast lump.

Fibrocystic changes

Most often occurring in women ages 35 to 50, fibrocystic changes are caused by cysts. These small fluid-filled sacs can come and go as hormones fluctuate during a woman's monthly cycle. Breasts can feel full and tender and have areas of lumpiness. 

Fifty to 60% of women experience fibrocystic changes, making it the most frequent noncancerous breast condition.

Fibroadenomas

This type of solid, smooth lump is made up of fibrous and glandular tissue. It can easily move under the skin when rolled with your fingers. Fibroadenomas are most common in women ages 18 to 35.

Injury or infection

An injury to the breast or even surgery in the area can cause fat to gather and form a benign mass. An abscess or collection of infected fluid can also create a lump. In some cases the lump is uncomfortable or painful.

Diagnosis and treatment

Knowing the cause of the breast lump is key to determining the best course of action. The first step is a physical exam followed by diagnostic imaging — typically an ultrasound and/or mammogram. If a mass is discovered, it’s biopsied to see if it’s cancerous.

Once cancer is ruled out and there’s no discomfort, usually no further treatment is needed. If you’re experiencing pain, you may need minimally invasive surgery to remove the lump or drain the cyst with a needle.

While often a breast lump is nothing serious and may not require any treatment, it’s always important to get a proper diagnosis to rule out cancer. 

If you find something irregular in your breast or notice any other unusual changes, call our office at 310-504-2548 or click to book an appointment online today.