Breast lump

Breast mass; Breast nodule; Breast tumor

A breast lump is swelling, growth, or mass in the breast.

Breast lumps in both men and women raise concern for breast cancer, even though most lumps are not cancer.

Considerations

Both males and females of all ages have normal breast tissue. This tissue responds to hormone changes. Because of this, lumps can come and go.

Breast lumps may appear at any age:

Both male and female infants may have breast lumps from their mother's estrogen when they are born. The lump will most often go away on its own as the estrogen clears from the baby's body.
Young girls often develop "breast buds," which appear just before the beginning of puberty. These bumps may be tender. They are common around age 9, but may happen as early as age 6.
Teenage boys may develop breast enlargement and lumps because of hormone changes in mid-puberty. Although this may be upsetting to boys, the lumps or growth almost always go away on their own over a period of months.

Causes

Lumps in a woman are most often either fibroadenomas or cysts, or just normal variations in breast tissue known as fibrocystic changes.

Fibrocystic changes are painful, lumpy breasts. This is a benign condition that does not increase your risk for breast cancer. Symptoms are most often worse right before your menstrual period, and then improve after your period starts.

Fibroadenomas are noncancerous lumps that feel rubbery.

They move easily inside the breast tissue and are usually not tender. They occur most often during the reproductive years.
These lumps do not have cancer or become cancerous except in rare cases.
A health care provider may sometimes suspect a lump is a fibroadenoma based on an exam. Also, an ultrasound and a mammogram can often provide information to determine if a lump looks like a fibroadenoma.
The only way to be sure, however, is to have a needle biopsy or remove the whole lump.

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Cysts are fluid-filled sacs that often feel like soft grapes. These can sometimes be tender, often just before your menstrual period. Ultrasound can determine if a lump is a cyst. It can also reveal whether it is a simple, complicated, or complex cyst.

Simple cysts are just sacs filled with fluid. They do not need to be removed and may go away on their own. If a simple cyst is growing or causing pain, it can be aspirated.
A complicated cyst has a little bit of debris in the fluid and can either be watched with ultrasound or the fluid can be drained.
A complex cyst looks more worrisome on ultrasound. Your provider may recommend either a follow up ultrasound or a needle biopsy. Depending on the results, the cyst may be monitored with ultrasound exams or removed surgically.

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Other causes of breast lumps include:

Breast cancer.
Injury. Blood may collect and feel like a lump called a hematoma if your breast gets badly bruised. These lumps tend to get better on their own in a few days or weeks. If they do not improve, your provider may have to drain the blood.
Lipoma. This is a collection of fatty tissue.
Milk cysts (sacs filled with milk). These cysts can occur with breastfeeding.
Breast abscess. These typically occur if you are breastfeeding or have recently given birth, but can also occur in women who are not breastfeeding.
Abscess
An abscess is a collection of pus in any part of the body. In most cases, the area around an abscess is swollen and inflamed.
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Home Care

See your provider if you have any new lumps or breast changes. Ask about your risk factors for breast cancer, and screening and prevention for breast cancer.

When to Contact a Medical Professional

Contact your provider if:

The skin on your breast appears dimpled or wrinkled (like the peel of an orange).
You find a new breast lump during self-exam.
You have bruising on your breast but did not experience any injury.
You have nipple discharge, especially if it is bloody, clear like water, or pinkish (blood-tinged).
Your nipple is inverted (turned inward) but normally is not inverted.

Also make contact if:

You are a woman, age 20 or older, and want guidance on how to perform a breast self-exam.
You are a woman age 40 or older and have not had a mammogram in the past year for advice about screening for breast cancer.

What to Expect at Your Office Visit

Your provider will get a complete history from you. You will be asked about your factors that may increase your risk for breast cancer. Your provider will perform a thorough breast exam. If you don't know how to perform a breast self-exam, and want to do this, ask your provider to teach you the proper method.

You may be asked medical history questions such as:

When and how did you first notice the lump?
Do you have other symptoms such as pain, nipple discharge, or fever?
Nipple discharge
Nipple discharge is any fluid that comes out of the nipple area in your breast.
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Fever
Fever is the temporary increase in the body's temperature in response to a disease or illness. A child has a fever when the temperature is at or abov...
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Where is the lump located?
Do you do breast self-exams, and is this lump a recent change?
Have you had any type of injury to your breast?
Are you taking any hormones, medicines, or supplements?

Steps your provider may take next include:

Ordering a mammogram to look for cancer, or a breast ultrasound to see if the lump is solid or a cyst.
Mammogram
A mammogram is an x-ray picture of the breasts. It is used to evaluate some breast symptoms and to find breast cancer in women with no symptoms....
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Breast ultrasound
Breast ultrasound is a test that uses sound waves to examine the breasts.
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Using a needle to draw fluid out of a cyst. The fluid is usually discarded and does not need to be examined under a microscope.
Ordering a needle biopsy, which is often done by a radiologist.
Needle biopsy
A breast biopsy is the removal of breast tissue to examine it for signs of breast cancer or other disorders. There are several types of breast biopsi...

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How a breast lump is treated depends on the cause.

Solid breast lumps are usually biopsied with a needle by the radiologist. Depending upon the situation, they might be removed with surgery. They can also be monitored over time by your provider.
Cysts can be drained in your provider's office. If the lump disappears after it is drained, you do not need further treatment. If the lump does not disappear or comes back, you might need to be rechecked with exam and imaging.
Breast infections are treated with antibiotics. Sometimes a breast abscess needs to be drained with a needle or surgically drained.
If you are diagnosed with breast cancer, you will discuss your options carefully and thoroughly with your provider.

Open References

References

Davidson NE. Breast cancer and benign breast disorders. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 183.

Henry NL, Shah PD, Haider I, Freer PE, et al. Cancer of the breast. In: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 88.

Klimberg VS, Hunt KK. Diseases of the breast. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Philadelphia, PA: Elsevier; 2022:chap 35.

Robinson AS, Lee AE. Breast cancer diagnosis and techniques for biopsy. In: Klimberg VS, Gradishar WJ, Bland KI, Korourian S, White J, Copeland EM, eds. Bland and Copeland's The Breast: Comprehensive Management of Benign and Malignant Disorders. 6th ed. Philadelphia, PA: Elsevier; 2024:chap 14.

Vora H, Oseni TO. Breast: benign breast disease. In: Cameron J, ed. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:717-808.

Breast self-exam
Animation

Female Breast - illustration
The female breast is either of two mammary glands (organs of milk secretion) on the chest.
Female Breast
illustration
Breast lumps - illustration
Less than one-fourth of all breast lumps are found to be cancerous, but benign breast disease can be difficult to distinguish from cancer. Consequently, all breast lumps should be checked by a health care professional. Imaging tests such as mammogram and ultrasound may be needed for evaluation.
Breast lumps
illustration
Fibrocystic breast disease - illustration
Fibrocystic breast change is a common and benign change within the breast characterized by a dense irregular and bumpy consistency in the breast tissue. Mammography or biopsy may be needed to rule out other disorders.
Fibrocystic breast disease
illustration
Fibroadenoma - illustration
A fibroadenoma is a non-cancerous benign lump that is found in breast tissue. When felt under the skin, the lump may feel rubbery and easily moveable within the breast tissue. Fibroadenomas are commonly found in young women during their reproductive years.
Fibroadenoma
illustration
Breast lump removal - series - Normal anatomy
Presentation

<strong>Breast lump removal - series - Normal anatomy</strong><p>The female breast is composed mainly of fatty tissue interspersed with fibrous or connective tissue. The circular region around the nipple is often a different color or pigmented. This region is called the areola.</p>

<strong>Indications</strong><p>Most breast lumps are not diagnosed by a healthcare provider, but are detected by women who give themselves breast self-examinations. Any breast lump that persists beyond a few days should be reported to a healthcare provider. Almost two-thirds of all breast lumps are benign, but the chance of a malignant lump is greatly increased if the woman is past menopause. Ultrasound and mammogram may be used to see if a lump is a cyst filled with fluid or a solid mass of tissue. If the lump is a cyst, it can be left alone or aspirated if it causes symptoms. If a cyst appears suspicious on imaging, needle aspiration or needle biopsy can be performed. If the lump is a solid mass, the next step is usually a needle biopsy performed by a radiologist or breast specialist. The tissue is checked by a pathologist to see if it is cancer or not.</p>

<strong>Procedure</strong><p>Sometimes a mass needs to be removed to see if cancer is present. This is called an excisional biopsy. While the patient is awake and pain-free (using local anesthesia) or asleep and pain-free (using general anesthesia), an incision is made over the lump. The length and position of the incision will depend on the size and location of the lump that needs to be removed. After the lump is removed in one piece, it is sent to the pathologist for a microscopic exam. The final report usually is done several days later.</p>

<strong>Aftercare</strong><p>The outcome of the excisional biopsy depends on the type of lump found. If the lump is benign, no further treatment is required. If the lump is malignant, the treatment can include surgery, radiation, chemotherapy and endocrine therapy. The choice of treatment will be discussed with you by specialists in each area.</p>

Causes of Breast Lumps - illustration
There are many possible causes for lumps in the breast. Most breast lumps are benign, as in fibroadenoma, a condition that affects mostly women under age 30. Breast abscesses are usually incidental to breastfeeding.
Causes of Breast Lumps
illustration
Core needle biopsy of the breast - illustration
A core needle biopsy of the breast is a procedure to remove samples of tissue from a lump or suspicious area of the breast and evaluate it for breast cancer. Core needle biopsy uses a long, hollow needle to take several core samples of tissue, usually using ultrasound or mammographic guidance. The samples are then sent to a lab for analysis.
Core needle biopsy of the breast
illustration

Breast self-exam
Animation

Female Breast - illustration
The female breast is either of two mammary glands (organs of milk secretion) on the chest.
Female Breast
illustration
Breast lumps - illustration
Less than one-fourth of all breast lumps are found to be cancerous, but benign breast disease can be difficult to distinguish from cancer. Consequently, all breast lumps should be checked by a health care professional. Imaging tests such as mammogram and ultrasound may be needed for evaluation.
Breast lumps
illustration
Fibrocystic breast disease - illustration
Fibrocystic breast change is a common and benign change within the breast characterized by a dense irregular and bumpy consistency in the breast tissue. Mammography or biopsy may be needed to rule out other disorders.
Fibrocystic breast disease
illustration
Fibroadenoma - illustration
A fibroadenoma is a non-cancerous benign lump that is found in breast tissue. When felt under the skin, the lump may feel rubbery and easily moveable within the breast tissue. Fibroadenomas are commonly found in young women during their reproductive years.
Fibroadenoma
illustration
Breast lump removal - series - Normal anatomy
Presentation

Causes of Breast Lumps - illustration
There are many possible causes for lumps in the breast. Most breast lumps are benign, as in fibroadenoma, a condition that affects mostly women under age 30. Breast abscesses are usually incidental to breastfeeding.
Causes of Breast Lumps
illustration
Core needle biopsy of the breast - illustration
A core needle biopsy of the breast is a procedure to remove samples of tissue from a lump or suspicious area of the breast and evaluate it for breast cancer. Core needle biopsy uses a long, hollow needle to take several core samples of tissue, usually using ultrasound or mammographic guidance. The samples are then sent to a lab for analysis.
Core needle biopsy of the breast
illustration

A Closer Look

Talking to your MD

Self Care

Tests for Breast lump

Review Date: 11/25/2023

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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Health Library

Breast lump

Breast cancer

Considerations

Causes

Fibrocystic changes

Fibroadenomas

Cysts

Abscess

Home Care

When to Contact a Medical Professional

What to Expect at Your Office Visit

Nipple discharge

Fever

Mammogram

Breast ultrasound

Needle biopsy

References

Breast self-exam

Female Breast - illustration

Female Breast

Breast lumps - illustration

Breast lumps

Fibrocystic breast disease - illustration

Fibrocystic breast disease

Fibroadenoma - illustration

Fibroadenoma

Breast lump removal - series - Normal anatomy

Causes of Breast Lumps - illustration

Causes of Breast Lumps

Core needle biopsy of the breast - illustration

Core needle biopsy of the breast