For women, discovering a lump in breast can be worrying. While breast cancer is often the first concern that comes to mind, fortunately not all lumps are cancerous. In fact, the majority of breast lumps turn out to be benign (non-cancerous). Understanding the possible causes, risk factors, and when to seek medical attention is crucial—especially in Singapore, where breast cancer is the most common cancer among women (Singapore Cancer Registry).
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What Are The Common Causes Of A Lump In Breast
Fibrocystic Breast Changes
One of the most frequent causes of a lump in breast is fibrocystic changes. This condition may make breast tissue feel lumpy, rope-like, or tender. This may occur particularly before menstruation. Fibrocystic changes is linked to hormonal fluctuations and is not harmful, though it can make breast self-examination more challenging.
Breast Cysts
Cysts are fluid-filled sacs that can feel like smooth, round lumps under the skin. They may become more noticeable just before your period and often shrink afterwards. In Singapore, cysts are commonly diagnosed using ultrasound and can be drained if they become painful.
Fibroadenomas
Fibroadenomas are benign solid tumours. They are found most often in younger women. Usually, they will feel smooth, firm, and mobile, like a “marble” inside the breast. These lumps usually will not turn cancerous, but women may opt to remove them if they grow or cause discomfort.
Infections And Abscesses
Breast infections can cause painful lumps, especially in women who are breastfeeding. An abscess may develop from the infection. It can feel firm, warm, and tender to the touch. Medical treatment with antibiotics, and occasionally drainage, is required.
Breast Cancer And Lump In Breast
A lump in breast can sometimes signal cancer, even though most lumps are benign. In Singapore, breast cancer accounts for nearly 30% of cancers diagnosed in women.
Cancerous lumps often have certain characteristics:
- Hard and irregular in shape
- Fixed to the surrounding tissue
- Usually painless in early stages
- May be associated with skin dimpling, nipple retraction, or bloody discharge
It is important to note that only medical assessment can confirm whether a lump is cancerous.
Our Preferred Doctors (Breast Surgeon) For Breast Health
If you have concerns about your breast health, you can consider consulting our Preferred Doctor for breast health issues:
[SG] 365Find Featured - Dr Tan Yia Swam
[SG] 365Find Featured - Nipple Discharge The Big Story
When To See A Doctor For Lump In Breast?
You should consult a doctor promptly if you notice:
- A new lump in breast that persists after your menstrual cycle
- A lump that feels harder, fixed, or irregular compared to the surrounding tissue
- Changes in the skin such as dimpling or redness
- Nipple discharge, particularly if it is bloody
- Swelling or lumps in the armpit area
A doctor will likely recommend imaging tests such as mammography or ultrasound. If needed, a biopsy will confirm whether the lump is benign or malignant.
Get An Appointment With A Breast Specialist
A lump in the breast does not always mean cancer, but it should never be ignored. If you are uncertain, always consult a doctor for a proper diagnosis.
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.