A member asked:

Is breast cancer typically painful?

45 doctors weighed in across 19 answers
Dr. Moshe Lewis answered

Specializes in Physical Medicine and Rehabilitation

No not typically: and certainly it is very rare in someone as young as you are. Therefore, you should be worked up thoroughly and diagnosed before jumping to conclusions. Breast cancer is very rare at your age compared to fibrocystic disease.

Answered 5/21/2017

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Not necessarily: Many times breast cancer may be present without pain. On certain situations it may be painful. If you have any reason to suspect breast cancer it is best to have it checked. Although in your age breast cancer is rare but is not unheard of. Don't go only by presence or abscence of the pain.

Answered 5/21/2017

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Dr. Eric Brown answered

Specializes in General Surgery

In a word, no: I would not use whether or not pain is present, to decide when to work up a new breast finding. Some cancers can be tender or painful. When a new finding has been present for more than a week, or is getting worse, it is safest to see a physician for an evaluation.

Answered 5/25/2015

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Dr. Mark Dickson answered

Specializes in General Surgery

Typically not: There are many more causes of breast pain that are more common than cancer. Having said that, cancer can cause breast pain in certain circumstances. Your doctor can help evaluate and treat the cause of breast pain.

Answered 5/21/2017

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Dr. Amit Jain answered

Specializes in Internal Medicine - Hematology & Oncology

No: Almost never as a matter of fact. Painful breast lump is often from trauma or infection.

Answered 1/18/2019

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No: Breast cancers very seldom hurt or are even uncomfortable until they have spread extensively, especially to bone or hollow organs.

Answered 6/12/2015

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Dr. Kris Gast answered

Breast CA&symptoms: Breast CA is usually found on mammogram. The pt may not even feel anything. Some pts will have a mass or a lump in the breast. Even when breast CA has invaded the skin or a large part of the breast it is usually NOT painful. If your breast is sore it is more likely related to hormones gone "bad"

Answered 5/21/2017

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Breast cancer: The symptoms associated with breast cancer depend on the size. When breast cancer is small, it usually has no symptoms. The first symptoms may be a new area of thickening or a lump that the patient may feel in the affected breast, typically painless. As the cancer enlarges, the patient may notice skin dimpling, nipple retraction, or a reddish pitted surface of the overlying skin.

Answered 5/21/2017

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Rare to happen: Today, the majority of breast canceres are defined by mammographic screening. As such there is no clinical evicence of disease and no lesion is palpable. Even before mammo when patients were seen with 5-7 cm. lesions, there was no associated pain. When patients present with a painful area in the breast it is due to fibrocystic disease where fluid expansion of the duct system results in pain.

Answered 6/14/2015

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Cancer pain: Most cancers do not cause pain at an early stage. It is usually only when they involve vital structures, or interfer with weight bearing bones that pain becomes significant. Inflammation, however, often causes pain, and if the cancer evokes inflammation it may be painful. Breast cancer is usually not at all painful when first developing, but may be when it has spread to other areas of the body.

Answered 6/19/2015

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Dr. Larry Nichter answered

Specializes in Plastic Surgery

Breast CA and Pain: Most Breast Cancer is not painful especially at early stages.

Answered 5/21/2017

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Dr. Mark Pack answered

Specializes in General Surgery

No: Breast cancer typically is not painful. Early on there is usually no pain. More advanced breast cancer can be painful. Early on the typical finding is a lump or an abnormality on a mammogram.

Answered 5/21/2017

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Typically it is: not, it can be painful. It is not a reliable symptom for either benign or malignant process.

Answered 7/3/2015

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No: Breast cancer is typically NOT painful. Breast cancer does not usually cause a constant, sharp pain in the area of the mass. However, if the breast cancer is not detected until it is larger (over 2 cm) then the mass may cause some heaviness or pinching sensation in the area.

Answered 5/24/2016

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Dr. Devon Webster answered

Specializes in Medical Oncology

Usually not, but...: Most breast cancers are not painful, with some exceptions. A rare type of breast cancer can be very painful. This is called inflammatory breast cancer (ibc). Many doctors aren't aware of ibc, so it's important you know about it! if you develop severe pain, redness, swelling, bruising, or dimpling in your breast or armpit area, see a doctor immediately! and ask "could this be ibc?".

Answered 4/30/2018

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Dr. answered

Breast cancer: Most patients present having found a painless lump in the breast. Other symptoms include a lump under the arm, lump in other regional lymph nodes and with retraction or inversion of the nipple. Metastases may cause pain in bones or even pathological fractures. Involvement of skin can sometimes cause pain. http://patient.info/doctor/breast-cancer-pro

Answered 5/21/2017

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Dr. Erik Borncamp answered

Specializes in Wound care

No: That's the problem. If it was painful we could just wait for symptoms to take it out. The majority of breast cancers grow silently inside the breast for years without pain. That's why we need mammograms -- to detect the silent ones .

Answered 5/21/2017

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Dr. Liawaty Ho answered

Specializes in Hematology and Oncology

Typically not: pain is not a common presenting symptom of breast cancer. Only about 4% of breast cancer are presented with breast pain- majority are presented with abnormal mammogram , or palpable mass.

Answered 10/8/2017

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Dr. Amy Levin answered

No: Breast cancer usually presents as a painless lump in the breast, if not caught early by a screening mammogram. The effects of advanced breast cancer can be painful, such as bone tumors or breast infection. Breast pain is very unlikely to be cancer. Please get evaluated by a physician if you have breast pain or a lump.

Answered 10/26/2017

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