Doctor insights on:
How Can I Tell If A Breast Lump Is Cancerous
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Breast Biopsy: It is very difficult to distinguish a benign breast lump from a cancer for patient and doctor. Depending upon age and physical examination findings, we will often get a mammogram and ultrasound to help evaluate a breast lump, sometimes culminating in a (nonsurgical) needle-biopsy--ultimately, the only way to be 100% certain is to look at the tissue under the microscope. ...Read moreSee 1 more doctor answer
Need 2 C Ur Doctor: It is difficult if not impossible to differentiate a benign breast tumor from a malignant one by exam alone. At your age an ultrasound may be very helpful; ultimately, a (needle) biopsy under local anesthesia in an office setting is the most definitive diagnostic method. I advise you to see your doctor for the appropriate direction. ...Read moreSee 1 more doctor answer
Get it checked: The only way to know is to get it checked. Mammography or ultrasound may show the answer or you may need a biopsy for unknown or questionable lumps. Most can be diagnosed with a core needle biopsy which does not require going to surgery. Talk to your doctor to see what is best for you. ...Read moreSee 1 more doctor answer
Hard to Tell: It is very difficult to distinguish a benign breast lump from a cancer by exam alone, for patient and doctor. In general, cancers tend to be rock-hard, 3-dimensionally round, and can feel "fixed" within the breast. Depending upon age and physical examination findings, we will often get a mammogram and ultrasound to help evaluate a breast lump, sometimes culminating in a (nonsurgical) biopsy. ...Read moreSee 1 more doctor answer
Multiple possible: Hi. If you have a genetic risk for breast cancer (e.g., one of the BRCA gene mutations, and other genes too), multifocal breast cancer is more likely than in sporadic cases of breast cancer. Overall, multifocal breast cancer at the time of diagnosis is uncommon. Given your age of 25, I would lean heavily toward suspecting a genetic form of breast cancer. Evaluate ALL breast lumps. Good luck! ...Read more
Very Rarely: Oozing or weeping from the skin of the breast is most commonly due to a skin-based infection rather than a breast (tissue) disease. However, a large cancer can erode through the skin and cause an open, oozing wound. Also, a rare from of cancer, inflammatory breast cancer, can mimic a breast infection with skin changes. In short: it's best to see your doctor just to be safe. ...Read more
No: I guess my first question is, what was the first lump? In general, a new lump that appears to develop "overnight" is often a breast cyst, a fluid filled lump that develops after a duct becomes blocked. It is almost impossible to distinguish a cyst from a cancer by exam alone; an ultrasound can determine this easily. Regardless, any new lump in the breast warrants physician evaluation. ...Read moreSee 2 more doctor answers
Not likely: Although possible, breast cancer is rare in premenopausal women, and it is extremely, extremely rare in teenagers. More likely, the lump is some active breast tissue in the maturing breast, or a benign mass, such as a fibroadenoma or fibrocystic disease. For reassurance, you should see your primary care physician; if he/she is concerned, referral to a general surgeon would be in order. ...Read more
Yes: Get into the habit now. Any dominant mass in the breast needs to be seen without delay by your physician. I'll bet it's benign. But you'd be betting your life versus nothing if you don't get seen. ...Read more
Risk is VERY low!: Any breast lump can be benign or cancerous. Important things are: has it grown, changed, gotten harder, deformed, dimpled the skin, made the skin over it red or swollen, or become associated with lumps in your armpit? At age 28, the chance of a lump being cancer is about 1/10,000 -- which is NOT zero. Please see a breast specialist for an exam, and likely an ultrasound. Good luck to you! ...Read more
Possible: At age 28, defining a breast lesion should be by palpation or sonography and not mammography. Sono showing a regular solid lesion suggests fibroadenoma. If cystic on sono it should subside or can be aspirated. If lesion is firm and possibly irregular excisional bx needed since while Ca is rare it can occur at age 28. ...Read more
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