Breast lumps – Is it cancer – health

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Breast lumps – Is it cancer - health
Breast lumps – Is it cancer - health

Breast lumps – Is it cancer?
The breast lump may be caused by any of these conditions [mental health care].
Mita Majumdar | Updated: January 9, 2017 10:47 am
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Tags: Breast cancer risk Breast care Cancer in women Women’s health
breast-cancer lumps
Lila’s whole world came crashing down around her when, one morning in the shower, she found a small but distinct lump in her right breast [mental health care]. She panicked; her first thought was “Could it be cancer?” She felt for pain; yes, it does seem a little tender [mental health care]. She read it somewhere, if it hurts, it can’t be cancer [mental health care]. But then, what if it is?

Dr R N Tagore, oncologist at Paras Hospital, Patna, suggests keeping your cool if you have just found out that you have a lump in your breast [mental health care].

“Eight out of ten lumps found in breasts are benign in nature, that is, not cancerous [mental health care]. It has been observed that in young and premenopausal women breast, these types of breast lumps are very common,” says Dr Tagore [mental health care].

“Benign lumps often feel like well-encapsulated, smooth, soft to firm and freely mobile, while cancerous tumour, on the other hand, tend to feel much harder, irregular and fixed (cannot be moved as easily),” he says [mental health care].

If you notice a lump in your breast, irrespective of whether it is for the first time or you had lumpy breasts before, or even if it is right after you get a clean mammogram, consult a doctor as early as possible [mental health care].

The breast lump may be caused by any of the following conditions:

Fibrocystic breast changes

Earlier known as fibrocystic breast disease or FBD and then changed to fibrocystic breast changes, it is a common condition affecting women of childbearing age [mental health care].

I [mental health care]. Symptoms: It is a benign condition characterized by lumpy, nodular breasts and breast pain that varies throughout the menstrual cycle [mental health care].

II [mental health care]. Cause: Although the exact cause of the condition is not yet known, it is determined by oestrogen predominance and progesterone deficiency (hormonal changes) during the menstrual cycle [mental health care].

The condition does not increase the risk of breast cancer, but it may become more difficult for you to feel a new breast lump or any other abnormality in the breast [mental health care]. It is important that you consult your doctor and get treatment [mental health care]. As researcher Helmuth Vorherr points out, ‘Fibrocystic breast disease is not a harmless nondisease but a distinct clinical entity that requires treatment to bring about relief to the patient, to reduce the incidence of breast surgical procedures, and to diminish the risk of breast cancer [mental health care]. [1] Read more about How to take care of your breasts?

Breast cyst

Breast cysts are fluid filled sac like structures inside the breasts [mental health care]. They may occur in one or both breasts [mental health care]. Breast cysts are either simple, complex, or complicated cysts [mental health care]. Cysts are typically soft and mostly benign, except for complex cysts which could be malignant and merit a biopsy [mental health care]. Read here 5 absolutely normal reasons why your breasts feel lumpy

Twenty five percent of all breast lumps turn out to be breast cysts [mental health care]. Cysts are common in premenopausal women over 35 years of age and uncommon in postmenopausal women unless they have received hormone therapy [mental health care]. [2] Incidentally, postmenopausal cysts are much more common [mental health care].

I [mental health care]. Symptoms:

Simple cysts are fluid-filled, round or oval structures that can occur singly or in multiples, isolated or diffused [mental health care]. Cysts can fluctuate in size and number with the menstrual cycle and it has been found to be most prominent in the premenstrual phase [mental health care]. [3]
Complicated cysts are also fluid-filled, but in addition, they contain pus, proteins from cell turn-over, and other proteins that are collectively called debris [mental health care]. Such cysts may occur along with simple cysts and are often painful, inflamed, or rapidly enlarging [mental health care]. Sometimes nipple discharge too can occur [mental health care].
Complex cysts are solid masses with thick walls [mental health care]. These lumps are uncommon but when they do occur, there are high chances it could be malignant [mental health care]. You will be asked to get a biopsy done [mental health care].
II [mental health care]. Causes: Scientists do not yet know what causes breast cysts [mental health care]. Evidence suggests predominance of oestrogen and deficiency of progesterone in the menstrual cycle can possibly cause breast cysts [mental health care].

Breast fibroadenoma

Breast fibroadenoma is a smooth, firm mass made up of fibrous and glandular tissue [mental health care]. It is one of the most common benign tumours found in adolescent girls and young women under 30 years of age [mental health care]. Breast fibroadenomas account for 68 percent of all breast lumps [mental health care]. [4]

The lumps are generally 1-3 cm in size found in upper outer quadrant of the breast [mental health care]. Some lumps can be larger than 10 cm in size as well, causing breast asymmetry [mental health care]. Read more about Breast cancer in a 25-year-old? Really??!! (True story)

Fibroadenomas are categorized into simple fibroadenoma, giant juvenile fibroadenoma, and multicentricfibroadenoma [mental health care].

I [mental health care]. Symptoms:

The fibroadenomas are painless, smooth, movable rubbery masses that have distinct borders [mental health care].
Normally, they are 1 cm to 3 cm in size, but giant fibroadenomas have a diameter of more than 5 cm and weigh over 500 gm [mental health care].
Fibroadenomas are generally found in upper right quadrant of the breasts, but in multicentricfibroadenomas multiple masses occur at different quadrants of the breasts [mental health care].
Giant fibroadenomas are associated with skin ulcerations and venous engorgement [mental health care].
Fibroadenomas may enlarge slowly without associated pain or nipple and skin changes, but fluctuations in size may occur with the menstrual cycle [mental health care].
Symptoms last an average of 5 months [mental health care]. [5]
II [mental health care]. Causes: As with other breast lumps, here too, oestrogen influence the development of fibroadenomas [mental health care].

III [mental health care]. Risk factors:Exposure to oestrogen-progesterone oral contraceptive before menopause and an increasing BMI of 25-30, increase the risk of fibroadenoma [mental health care].

Although fibroadenomas are benign in most cases, a study reported that women with fibroadenomas are at a 2 [mental health care]. 17 times increased risk for breast cancer [mental health care]. [6]

Breast cancer

Breast cancer is a malignant tumour that develops from the cells in the breast [mental health care]. These malignant cells invade the neighbouring cells and can then spread to different parts of the body, if left unchecked [mental health care].

I [mental health care]. High risk factors for breast cancer:

Age 50 years or older
History of breast cancer
Family history of breast cancer
Breast cysts, especially hard ones
Hormone therapy
Exposure to ionizing radiation
Obesity
II [mental health care]. Symptoms: Studies have shown that breast cancer is significantly associated with the occurrence of symptoms [mental health care]. Common symptoms are

Breast lumps
Breast pain
Nipple discharge
1 [mental health care]. One study found a cancer rate of 3 [mental health care]. 2, 16 [mental health care]. 4 and 12 [mental health care]. 0%, respectively, in patient with breast pain, lump and nipple discharge [mental health care]. [7]

2 [mental health care]. Another study reported a risk of more than threefold in women who had a lump in the screening exam but no significant association between nipple discharge, breast pain and breast cancer risk [mental health care]. [8]

3 [mental health care]. Although breast pain was not associated with malignancy, pain that is unilateral, localized and intense may be associated with cancer, reported another study [mental health care]. [9]

4 [mental health care]. Sometimes, early detected breast cancers have lumps that are mobile [mental health care]. Fixed lumps are more dangerous since these lumps are usually associated with more advanced type of cancers, that is, those that have spread to other parts of the breast [mental health care].

5 [mental health care]. Given that there is no hard and fast rule to determine whether the breast lump is benign or malignant just by touching and feeling the lump, seek medical attention as soon as possible [mental health care]. Depending upon the type of breast lump you have, your doctor will chalk out a treatment plan for you [mental health care].

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