Key takeaways:
Breast lumps are common, and most of the time they aren’t cancerous.
Many health conditions can cause a breast lump.
Cancerous breast lumps may have some specific characteristics — know what to look out for.
Finding a breast lump can be scary. Your healthcare provider should always evaluate new breast lumps in order to rule out breast cancer. But most of the time breast lumps are not cancerous. Read on to know what to look out for and what to do if you find a breast lump.
If you feel a breast lump, your first step should be to see a primary care provider. They will do an exam and discuss the best next steps, such as an ultrasound or mammogram. It’s important to talk with your doctor right away about anything new or that changes in your breasts. If it’s breast cancer, the earlier you identify and treat it, the better.
If you don’t have a primary care provider, you can find a health center near you, or you can consider connecting with a telehealth provider.
There are many causes of breast lumps that are not breast cancer. Here are some examples:
Benign tumors, such as a fibroadenomas
Trauma to the breast that causes fat necrosis
Normal breast tissue may feel irregular and lumpy
Blocked milk ducts, or galactocele
In young women, breast lumps can be related to the menstrual cycle. They may come and go during different parts of your cycle. While a breast lump in a young menstruating person can sometimes be monitored, it’s very important that a healthcare provider evaluates any new lump.
When describing a new breast lump, it can be helpful to think about its location, size, texture, mobility, and if it’s painful or not.
Cancerous lumps can have the following characteristics:
Commonly in the upper-outer quadrant of the breast
May feel “stuck” and lack defined borders
Usually don’t cause pain
May increase in size over time
Can cause skin changes of the breast such as swelling, redness, or dimpling
May cause nipple changes such as scaling, redness, or itching
Can cause new nipple discharge
Breast cancer lumps usually aren’t painful. But, in some cases, breast cancer can cause pain. Any new and persistent pain in the breast should be evaluated — even if you don’t feel a lump.
Most of the time, breast lumps are benign — not cancerous. In fact, up to 80% of breast lumps are not breast cancer. The younger a person is, the more likely a breast lump is to be benign. However, it’s important to rule out cancer in all new breast lumps, at any age.
It’s scary to find a breast lump. While most of the time this will not be cancer, it’s essential to have your healthcare provider evaluate any breast concerns you may have. There are many causes of breast lumps, but breast cancer always needs to be ruled out. It’s important to know your body and to know the concerning signs to look out for.
American Cancer Society. (2020). Breast cancer symptoms: What you need to know.
American Cancer Society. (2022). Fat necrosis and oil cysts in the breast.
American Cancer Society. (2022). Fibroadenomas of the breast.
American Cancer Society. (2022). Fibrocystic changes in the breast.
Health Resources and Services Administration Data Warehouse. (n.d.). Find a health center.
Klein, S. (2005). Evaluation of palpable breast masses. American Family Physician.
National Breast Cancer Foundation, Inc. (2020). Breast biopsy.
Toomey, A., et al. (2021). Breast abscess. StatPearls.