BREAST LUMP

Are all breast lumps cancer?

No.
Most breast lumps are benign (harmless). Only a small percentage turn out to be cancer. Still, every breast lump should be checked by a doctor.

What are common types of benign breast lumps?

Common benign breast lumps include:

• Fibroadenoma – firm, smooth, movable lump (most common in young women)

• Breast cysts – fluid-filled lumps

• Fibrocystic breast changes – lumpy, painful breasts before periods

• Breast abscess – painful lump with infection

• Fat necrosis – lump after injury or surgery

What symptoms can a benign breast lump cause?

• A painless lump in the breast

• Lump that moves under the skin

• Breast pain or heaviness (especially before periods)

• Sometimes nipple discharge (usually not bloody)

• Redness or warmth if infection is present

What is Breast Self-Examination (BSE)? Why is it important?

Breast Self-Examination is a simple method where a woman checks her own breasts regularly to detect any changes early.

Why it matters:

• Helps detect lumps early

• Makes you familiar with your normal breast feel

• Increases awareness and confidence

• Early detection → better outcomes

How often should breast self-examination be done?

• Once a month

• Best time: 5–7 days after periods end

• Post-menopausal women: same fixed day every month

How to do Breast Self-Examination? (Simple steps)

1. Look (In front of mirror):

• Look for change in size, shape, skin dimpling

• Check nipple position or discharge

2. Feel (While standing or lying down):

• Use the pads of your fingers

• Move in circular motion

• Cover entire breast, armpit, and nipple area

• Check both breasts

👉 If you feel any new lump, consult a doctor immediately.

How is a benign breast lump diagnosed?

Doctors may advise:

• Clinical breast examination

• Ultrasound (especially in young women)

• Mammography (older women)

• FNAC or biopsy to confirm it is benign

Do all benign breast lumps need surgery?

No.
Many benign lumps do not need surgery and can be safely observed.

When is surgery needed for a benign breast lump?

Surgery is advised if:

• Lump is large or increasing in size

• Causes pain, discomfort, or anxiety

• Doubt about diagnosis

• Cosmetic deformity of the breast

• Patient prefers removal

• Recurrent infection or abscess

What type of surgery is done for benign breast lumps?

• Lumpectomy / Excision biopsy
  – Only the lump is removed

• Breast shape is usually preserved

• Often a day-care procedure

Is surgery safe? Will it affect breast shape?

• Surgery is safe and commonly done

• Minimal scar

• Breast shape usually remains normal

• Recovery is quick

Can benign breast lumps come back?

• Some lumps like fibroadenoma may recur

• Regular follow-up and self-examination are important

What is the take-home message?

• Most breast lumps are benign

• Breast self-examination saves lives

• Any lump should be evaluated

• Surgery is selective, safe, and effective when needed

• Early consultation = peace of mind 🌸