Painful Lump In Breast – Should You Be Alarmed?

Discovering a painful lump in the breast can be alarming for any woman. Fortunately, not all breast lumps are a cause for serious concern. However, it is important to understand what they could mean, when to seek medical advice, and what diagnostic and treatment options may be available. This article provides an overview of the possible causes and next steps if you find a painful lump in your breast.

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Possible Causes Of A Painful Lump In The Breast

Although painful breast lumps are often benign, they should nevertheless not be ignored. The common causes of painful breast lumps include:

1. Fibrocystic Breast Changes

These are non-cancerous changes that result in the formation of lumps or thickened areas in the breast. These are often accompanied by tenderness or pain, particularly before menstruation. The lumps may be rubbery in feeling and can fluctuate in size.

2. Breast Cysts

Breast cysts are fluid-filled sacs that develop within the breast tissue. They are usually round or oval in shape. They can be painful especially when they become enlarged or infected.

3. Mastitis (Breast Infection)

A condition that is more common in breastfeeding women, mastitis is an infection of the breast tissue. This leads to swelling, redness, and pain. Fever and fatigue may also be experienced. In severe cases, abscesses may form .

4. Injury Or Trauma

A direct blow to the breast can lead to the formation of a painful lump due to fat necrosis or a haematoma. These are typically benign but may present like more serious conditions.

5. Breast Cancer

Although most painful breast lumps are not cancerous, some types of breast cancer (e.g. inflammatory breast cancer) can present with pain and lumpiness. Women who experience breast pain should err on the side of caution and get a medical consultation.

When To See A Doctor

You should consult a doctor if:

• The lump persists for more than one or two menstrual cycles
• There is nipple discharge, especially if it is bloody
• The lump increases in size or changes in feel
• The skin over the lump becomes red, dimpled, or puckered
• There is unexplained pain in one part of the breast

Early evaluation is critical, even if you suspect a benign cause. Timely diagnosis ensures better outcomes, especially if the lump is malignant.

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Diagnostic Methods

Upon visiting your doctor, you may undergo:

• Clinical Breast Examination: A physical assessment to evaluate the lump’s size, texture, and mobility.
• Ultrasound Or Mammogram: These are imaging tests to help distinguish between solid masses and cysts.
• Fine Needle Aspiration (FNA) Or Biopsy: To extract fluid or tissue for laboratory analysis, especially if the lump is solid or persistent.

Possible Treatments For Painful Breast Lumps

Treatment depends on the underlying cause:

• Fibrocystic Changes: Often no treatment is required, but lifestyle changes and pain relief medications can help.
• Cysts: May be monitored or drained if causing discomfort.
• Infections: Usually treated with antibiotics, and abscesses may need drainage.
• Injuries: Pain relief and monitoring may be sufficient.
• Cancer: If diagnosed, treatment may include surgery, chemotherapy, radiotherapy, or hormone therapy.

Our Preferred Doctors (Breast Surgeon) For Breast Lump Investigation

If you are looking for a breast surgeon to investigate a suspicious lump in the breast, you can consider the following:

• Dr Tan Yia Swam is a highly experienced general surgeon with a special focus on breast conditions, offering minimally invasive surgery, ultrasound-guided biopsies and comprehensive cancer surgical care.

Dr Tan Yia Swam

Singapore, Singapore

Breast Friend Surgery & Wellness

General Surgery, General Surgery (Breast)

[SG] Featured Doctor- Dr Kevin Koo

Orthopaedic Surgeon In Singapore

Get An Appointment With A Breast Specialist

While a painful lump in the breast can be frightening, it is not always a sign of cancer. However, it is essential to get it evaluated by a healthcare professional to ensure timely and accurate diagnosis. Regular breast self-examinations and routine check-ups can aid in early detection and peace of mind.

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