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Forum Name: Breast Cancer

Question: Large lump over right breast


 ydnas - Thu Sep 10, 2009 10:13 pm

I have a fairly large lump on the top part of my right breast. It is not perfectly round, and is very painful when touched. I am about a week away from my menstrual cycle, so I am unsure if it has anything to do with that. I told my mom, a registered nurse, about it, and she informed me that it is most likely a cyst that will dissappear after my period. I am not yet convinced because it is so painful. My chest seems to ache from within when i move a certain way, and sometimes when I inhale and exhale. I am only 22 years old, so I highly doubt it is cancer, especially as I have no family history. I am concerned that it could be something serious though...I have had breast pain and small lumps before, but nothing like this that has lasted so long. Please help give me some answers about this! Thank you.
 Dr.M.Aroon kamath - Thu Nov 05, 2009 1:32 am

User avatar Hi,
Breast cysts develop through processes of lobular involution and,
are found mostly in perimenopausal women.
It is uncommon to find cysts in women younger than age 35.
Cysts may develop in postmenopausal women, but
this is distinctly uncommon unless the woman is taking HRT.

While examining breast lumps, we first try to determine whether the 'lump' is a 'discreet' (well demarcated on all sides from the breast tissue) lump or not.If it is a 'discreet' lump, it needs to be evaluated by "Triple assessment" - the components of which are as follows...
- clinical breast examination
- imaging of the breast and
- a biopsy of the suspected lesion.

If it is not discreet, and if it is related to the menstrual cycles, then it may be 'lumpiness' caused by FCC(fibrocystic changes).

However, i am not able to explain the increase in pain due to positional changes that you mention.It is better to consult your GP for initial assessment. Good luck!

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