Breast lump
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Breast lump
Finding a breast lump is one of the most common condition in women. But it can be concerning. Breast lump is the commonest presentation of cancer. But remember, not all lumps are cancerous. Many breast lumps are benign (non-cancerous) and can result from various conditions. However, any new or unusual lump should be evaluated by a healthcare provider to determine its cause.
Every lady during her menstrual cycle experiences changes in her breast in the form of heaviness, lumpiness and sometimes even discomfort to the point of pain. The hormonal variations that happen with each menstrual cycle are responsible for the changes in the breast. This is a physiological preparation of the uterus and breast for possible pregnancy during the cycle.

At the end of the cycle if pregnancy doesn’t happen, the fall in hormone levels will return the breast tissues to normal. Over a period of time, some of the changes persist and do not reverse. Such changes can turn into fluid filled sacs called cysts or solid masses called fibroadenoma. These persistent can also manifest as nodularity ( ill defined areas) due to fibrocystic changes.
Since both simple and cancerous disease manifiest as a lump, it is important every lump unless proved otherwise needs to be viewed with suspicion. It needs the attention of a specialist.
Breast self examination is the best method to understand and know your breasts. A regular self examination would help you realise what is normal and allows you to detect early any change in your breasts.
Common Causes of Breast Lumps
Benign Conditions
- Fibroadenomas: Solid, smooth, rubbery lumps that move easily under the skin; common in younger women.
- Cysts: Fluid-filled sacs that can feel soft or firm.
- Fibrocystic Changes: Breast tissue feels lumpy or rope-like, often related to hormonal fluctuations.
- Lipomas: Soft, fatty growths under the skin.
- Infections or Abscesses: Can cause painful, red, swollen lumps.
Malignant (Cancerous) Causes
- A lump that is hard, irregular in shape, and doesn’t move easily may be a sign of breast cancer.
- Accompanied by other symptoms like nipple discharge (particularly bloody), skin changes, or swelling in the breast or nearby lymph nodes.

When to See a Doctor
You should consult a healthcare provider if you notice:
- A new lump or thickening in the breast or underarm.
- A lump that persists after your menstrual cycle.
- Changes in the size, shape, or appearance of the breast.
- Dimpling, puckering, or redness of the skin on the breast.
- Unusual nipple discharge or changes in nipple appearance.
- Persistent breast pain not related to your menstrual cycle.