What to do if you find a lump in your breast?
What to do if a lump or lump is found in the breast?
When such a phenomenon is discovered, of course, there are many concerns about its nature. Is a found defect always a manifestation of a serious pathology? Of course, first of all you need to consult a doctor and establish the nature of the seal.
Which doctor should you see if you find a lump in your chest?
First of all, you need to consult a mammologist. In the future, after establishing the cause, he can refer to other narrow-profile specialists, for example, an oncologist, surgeon, endocrinologist or therapist.
A lump in the chest: the cause is fibroadenoma
This is the name of a benign neoplasm in the mammary gland. It can occur anywhere, but more often appears above the nipples.
The tumor can change under the influence of hormones, for example, when taking oral contraceptives or during pregnancy, that is, the lump increases dramatically or disappears altogether. Fibroadenoma can be nodular and leaf-shaped.
Nodal. On palpation, a clearly limited formation of a round shape in the form of a nodule, up to a centimeter in size, is felt. When probing, pain occurs. Easy to spot when lying on your back.
Leafy. It has clear boundaries, but more oval and tuberous in size. Tends to increase rapidly, which leads to a change in the shape of the breast itself.
Any type of fibroadenoma can be eliminated only by surgery, because their presence leads to precancerous conditions and even the occurrence of cancer itself.
Mastopathy or fibrocystosis
In this case, we are talking about a violation of the hormonal nature. Pathology consists in the proliferation of connective tissue and the appearance of cysts - capsules filled with liquid. Fibrocystosis is of two types: nodular (very dangerous, as it often turns into cancer) and diffuse (many seals spread throughout the mammary gland). It is worth noting thatwhen examined in a supine position, nodular fibrocystosis is not palpable.
Infections and hormonal disruptions
The presence of seals in young women is often a variant of the norm. This is due to the menstrual cycle or pregnancy. In this situation, hormones are to blame.
During breastfeeding, milk enters the breast through the ducts of the glands, and stagnation of the latter manifests itself in lumps. In addition, infections can enter the nipple from your baby's mouth during feeding. These make themselves felt by redness and inflammation, fever. If these symptoms are present, they speak of mastitis.
After an unsuccessful fall or during sports, you can hurt your chest. This leads to bruising and induration. This phenomenon is not dangerous and will pass on its own after some time. A lump in the chest caused by a bruise resolves after a few days.
Cancer may be the cause of lumps in the chest. Cancer tumors are quite hard to the touch, do not have a clearly defined shape.
A woman should be examined by an oncologist if the following symptoms appear:
- The seal consists of multiple knots;
- One breast has changed a lot compared to the other;
- Depressions appear on the skin when lifting the arms;
- The nipple has changed, for example, retracted. There is discharge from it, mostly bloody;
- Constant severe pain in the induration zone (not always);
- Swollen axillary lymph nodes.
All women who have reached 35 years of age need to be examined by a mammologist once a year. You also need to independently monitor the condition of the bust. How to properly probe the glands, the doctor will show. If a lump is found during such a home examination, you cannot time to visit a specialist.
Hard and soft lump in the chest
This phenomenon may be fatty necrosis or lipoma. Fat necrosis is a pathology where normal cells change, turning into round tumors. They can be painful and hard, or vice versa. Fat necrosis can occur after a stroke or other injury, several weeks or even years after the injury. As a rule, the disease goes away on its own, but scar tissue may form, which is visible on a mammogram, like a lump in the breast.
Lipoma is a benign tumor of adipose tissue. It can be of different sizes. A woman can develop both one lipoma and several at the same time.
- Adenoma is a benign neoplasm in the glandular tissue. It is usually a round, hard lump with smooth borders. It may shift slightly on palpation, becomes soft,modify depending on the cycle. Adenoma is not related to oncology;
- Intraductal papilloma is a condyloma-like formation in the breast duct. Usually localized under the nipple in the form of small seals. May be accompanied by bloody nipple discharge. Several papillomas at the same time more often occur in young women, at an older age, as a rule, only one forms.
Just like a lump, a blood clot in a vein can be felt. Phlebitis occurs in a large vein that crosses the chest in the armpit. The symptoms of the disease include redness, soreness, a local increase in temperature, edema along the inflamed vessel.
How to get rid of lumps and lumps in the breast during lactation
In this case, we are talking about lactostasis - stagnation of milk in the ducts of the gland. Pathology is accompanied by hardening, redness, local temperature rise can be observed.
The reasons for milk stagnation are hidden in feeding according to the regimen, long breaks between feedings, uncomfortable underwear.
The provoking factor is severe fatigue and stress. More often, stagnation occurs in the first months of lactation, when milk production is just being established.
How to break lumps in your chest:
- Ensure milk drainage - often attach the baby to the breast, suck the sore breast before feeding, it may be necessary to change the feeding position;
- Targeted straining of the lobe with stagnation. After a high-quality breast emptying, the local temperature decreases. But it is important to identify whether this is actually stagnation in the duct, because similar symptoms can be observed with tissue edema. In the latter case, intense straining will lead to increased swelling;
- After feeding / straining, apply cold for 5-7 minutes to relieve pain and prevent swelling from spreading;
- When milk comes, lubricate the painful areas between feedings with absorbable ointments (such as arnica) or use folk remedies, for example, a slightly broken cabbage leaf;
- Limit fluid intake for 2-3 days. Drink no more than 1 ½ liters of clean water per day. In particular, it is not recommended to drink tea, lactogonic agents.
With the development of lactostasis, it is very important to break the lumps immediately. Otherwise, the pathology will turn into mastitis. Optimally, contact a breastfeeding specialist on the first day. Do not be nervous, you need to follow all the doctor's recommendations, then the discomfort will disappear rather quickly, the mammary gland will fully restore its function.
When milk comes in pain and lumpy breasts: mastitis
In this case, we are talking about inflammation of the mammary gland. The reasons for its appearance are neglected lactostasis, cracks / abrasions of the nipples, through which an infection has penetrated, hypothermia, concomitant diseases.
The symptoms of pathology include an increase in the temperature of the whole body, and not just the décolleté.
The state of health worsens, there are unpleasant sensations when moving the hand, headache. Temperature does not drop after feeding or pumping.
After visiting a doctor and making a diagnosis, antibiotics are prescribed. It should be noted that there is no need to stop breastfeeding during antibiotic therapy.
Modern pharmacology offers many drugs that can be taken in limited doses by nursing mothers.
Do not use heat, even a hot shower is contraindicated. In the presence of edema, heat will lead to its increase, and in case of purulent mastitis, the spread of pathology. It is recommended to apply cold, which will restore the function of blood vessels, relieve swelling and pain. Ointments with anti-inflammatory and absorbable effect will help.
Do not diagnose yourself and if you find the symptoms described above, contact a specialist!