Breast Lump

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Try one of these related symptoms.

Lump in the breast

Lump in the nipple

About the Symptom

A breast lump is a mass that develops in the breast. Any new breast lump should be evaluated by a physician as soon as possible. A breast lump can feel like a rock in the breast or a sponge in the breast or anything in between. It can feel smooth or lumpy or grainy and be movable or not movable. Most breast lumps will turn out to be benign (not cancer). The decision to biopsy the lump is dependent on many factors, but usually some sort of X-ray or Ultrasound will be used to evaluate the lump.

When to See a Doctor

Seek professional care if you experience any of the following symptoms

Possible Causes

Generally, Breast lump can be related to:

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

Reviewed By:

Alice Police, MD

Alice Police, MD (Breast Surgery)

Breast Surgeon of 30 years experience. Recent Chief of breast surgery at UCIrvine Medical Center, Northwell Health in New York State, Chief of breast surgery at Monument Health in Rapid City South Dakota. Breast Cancer Researcher in conjunction with multiple studies through Notre Dame department of electrical engineering. CMO of Nearwave, a start up breast cancer device company.

Yoshinori Abe, MD

Yoshinori Abe, MD (Internal Medicine)

Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.

From our team of 50+ doctors

Content updated on Feb 6, 2025

Following the Medical Content Editorial Policy

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How Ubie Can Help You

With a free 3-min Breast Lump quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.

This questionnaire is customized to your situation and symptoms, including the following personal information:

  • Biological Sex - helps us provide relevant suggestions for male vs. female conditions.

  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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FAQs

Q.

Breast Lump? Why Fibroadenomas Form & Medically Approved Next Steps

A.

Fibroadenomas are common benign breast lumps, usually influenced by hormones in younger women, that feel smooth and mobile, yet any new lump needs professional evaluation with exam, imaging, and sometimes a core needle biopsy. Most are watched with periodic follow up, while growth, pain, unclear results, or preference may prompt removal, and urgent signs like rapid enlargement, a fixed mass, skin changes, or bloody discharge need prompt care; there are several factors to consider, so see below for details that can guide the safest next steps.

References:

* Kalli SS, Kalra N, Singh P, Garg P. Fibroadenoma: Clinical Features, Imaging Findings, and Management. Semin Roentgenol. 2021 Jul;56(3):214-222. doi: 10.1053/j.semroentgen.2021.05.006. Epub 2021 Jun 17. PMID: 34294406.

* Kuang Y, Lu J, Li Z, Song C, Su X. Molecular and genetic characteristics of breast fibroadenomas. Pathology. 2019 Aug;51(5):468-473. doi: 10.1016/j.pathol.2019.05.003. Epub 2019 Jun 28. PMID: 31358434.

* Santamaria M, Zaborowski V, Benveniste A. Management of Benign Breast Disease. Surg Clin North Am. 2018 Jun;98(3):477-495. doi: 10.1016/j.suc.2018.03.003. PMID: 29929849.

* Guray A, Yildirim O, Arslan S. Diagnosis and Management of Benign Breast Diseases: An Overview. Ann Breast Surg. 2021 Jul;5:17. doi: 10.21037/abs-21-17. Epub 2021 Jul 2. PMID: 34296238.

* Ma S, Chen X, He X, Hu Z, Peng M, Li H. Update on the management of fibroadenomas of the breast. Breast J. 2023 May;29(5):603-611. doi: 10.1111/tbj.14810. Epub 2023 Mar 14. PMID: 36916520.

See more on Doctor's Note

Q.

Breast Pain or Lumps? Why Your Tissue is Changing and Medically Approved Next Steps

A.

Most breast pain and many lumps are benign, often from hormonal shifts or benign conditions like cysts or fibroadenomas, but red flags such as a new hard lump that does not move, skin dimpling, nipple changes, or bloody discharge need prompt attention; there are several factors to consider, so see below to understand more. Medically approved next steps include tracking symptoms across a cycle, trying supportive measures if appropriate, scheduling a clinical exam and any recommended imaging, and seeking urgent care for rapid swelling, fever with redness, sudden skin changes, severe localized pain, or discharge; screening usually starts at 40 to 50 and earlier if you are higher risk, and complete details that could change your next steps are outlined below.

References:

* Davies EL, Gateley I. Mastalgia: Aetiology, Diagnosis and Management. BMJ. 2018 Jul 25;362:k3228. doi: 10.1136/bmj.k3228. PMID: 30043817.

* Ghafoor S, Ghafoor S, Tariq S, et al. Benign Breast Disease: Pathogenesis, Diagnosis, and Management. Cureus. 2019 Jan 2;11(1):e3831. doi: 10.7759/cureus.3831. PMID: 30678250.

* Houssami N, Marra G. Fibrocystic Change of the Breast. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. PMID: 32310557.

* Faridi MS, Khan N, Khan S, et al. Breast Lump: A Comprehensive Review. Cureus. 2020 Oct 14;12(10):e10941. doi: 10.7759/cureus.10941. PMID: 33139368.

* Slanetz PJ. Evaluation of the Symptomatic Breast: A Clinician's Guide. Radiol Clin North Am. 2019 Jul;57(4):713-722. doi: 10.1016/j.rcl.2019.03.003. PMID: 31349887.

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Q.

Huge Breasts? Why Your Chest Is Heavy & Medically Approved Next Steps

A.

Large breasts feel heavy because there is more tissue stressing your back, shoulders, posture, and skin; extra heaviness can also come from hormonal shifts, weight gain, macromastia, rapid growth, swelling or infection, or a lump. Medically approved next steps include a professional bra fitting, posture and back strengthening, managing skin irritation, tracking hormonal patterns, and seeing a clinician when symptoms persist or limit life, with breast reduction sometimes indicated; urgent signs include a new hard lump, skin dimpling, new nipple inversion, bloody discharge, fever with redness, or rapid swelling. There are several factors to consider; see below for complete guidance that can affect which next steps you choose.

References:

* Momeni, A., Momeni, S., & Ghavidel, H. F. (2017). The impact of breast hypertrophy on body image, self-esteem and sexual satisfaction and its improvement after reduction mammoplasty. Aesthetic Plastic Surgery, 41(6), 1335–1341.

* Thoma, A., Thoma, A., & Farrokhyar, F. (2018). Patient satisfaction and psychosocial outcomes following reduction mammoplasty: a systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery, 71(12), 1675–1686.

* Khavanin, N., Momeni, S., & Momeni, A. (2019). Macromastia: A review of classification, etiologies, and treatments. Plastic and Reconstructive Surgery, 143(1), 166e–173e.

* Katz, R., & Kotsis, S. V. (2019). Indications for Reduction Mammoplasty, Preoperative Considerations, and Operative Planning. Clinics in Plastic Surgery, 46(3), 303–311.

* Al-Mufarji, R., Al-Zadjali, A., Al-Musafir, A., & Alkhatib, D. (2022). Long-Term Outcomes and Complications of Reduction Mammoplasty: A Systematic Review. Plastic and Reconstructive Surgery - Global Open, 10(11), e4608.

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Q.

Found a lump? Why your mammogram is vital and your medical next steps.

A.

Most breast lumps are not cancer, but every new lump needs prompt medical evaluation. A diagnostic mammogram is vital for early detection and to guide next steps like ultrasound or biopsy, even if the lump is painless. There are several factors to consider, including what to do if imaging is normal but the lump persists, urgent warning signs, when short term follow up is reasonable, screening timelines, and personal risk factors. See below for complete details that can shape your next steps.

References:

* Lim A, Kulkarni MM, Lim D, Liew SY, Tan MH. Diagnostic evaluation of breast lumps in women. Singapore Med J. 2017 Jul;58(7):448-453. doi: 10.11622/smedj.2017084. PMID: 28840248; PMCID: PMC5539566.

* Sardanelli F, Marotti L, Iuzzolino P, Trimboli RM. Diagnostic pathway for breast cancer using mammography and ultrasound: Clinical practice recommendations. Eur J Radiol. 2021 Mar;140:109765. doi: 10.1016/j.ejrad.2021.109765. Epub 2021 Mar 22. PMID: 33767222.

* Shah N, Lomasney L, Miller J. Current Trends in Breast Biopsy. Clin Imaging. 2020 Jan;60(1):52-59. doi: 10.1016/j.clinimag.2019.09.006. Epub 2019 Sep 18. PMID: 31590054.

* Monticciolo DL, Newell MS, Conant EF, Moy L, Niell B, Monsees B, Rauch G, Stackhouse RM, McElroy JA, Barlow WE, D'Orsi C, Dialani V, Destounis SV, Harvey JA, Herschorn N, Lee CH, Leung JWT, Miller MJ, Morris EA, Net JM, Poh AC, Rapp J, Smith RA, Vinciguerra VL, Yantis AL, Eby PR; ACR Committee on Appropriateness Criteria Breast Imaging. ACR Appropriateness Criteria® Imaging of Palpable Breast Masses. J Am Coll Radiol. 2022 May;19(5S):S118-S138. doi: 10.1016/j.jacr.2022.02.007. PMID: 35508492.

* Yang Q, Han L, Wang J, He M, Huang Y, Huang W, Li F. Value of multimodal imaging in the diagnosis of breast cancer. J Cancer Res Ther. 2022 Apr-Jun;18(3):702-708. doi: 10.4103/jcrt.jcrt_20_22. PMID: 35748057.

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Q.

Saggy Breasts at 30-45: Health Causes & Your Action Plan

A.

Saggy breasts between 30 and 45 are common and usually normal, most often due to aging-related skin changes, pregnancy and weight fluctuations, genetics, breast size, smoking, and hormone shifts; sagging itself is not dangerous. There are several factors to consider. See below for a practical action plan on proper bra support, posture and chest-strength exercises, skin protection and nutrition, weight stability, routine screening, and exactly when new lumps, skin or nipple changes, pain, or rapid asymmetry mean you should see a clinician, plus realistic cosmetic options that could affect your next steps.

References:

* Dinh, T., & Veitch, D. (2017). The Aging Breast. *Journal of Clinical & Cosmetic Dermatology*, *4*(2).

* Campanholi, F. A., do Vale, H. F. H. V., da Costa, J. P. A., Soares, L. D., da Silva, A. M. L., de Matos, F. L., da Cunha, I. C. L., de Oliveira, J. B., de Medeiros, G. M. D., Cazarim, M. C. G., de Aguiar, R. M. P. F., de Carvalho, S. C. V., Soares, L. F., & Cagnacci, D. (2020). Risk factors for breast ptosis: a systematic review. *Archives of Breast Cancer*, *7*(1), 1–6.

* Rinker, B., & Howard, P. (2012). The relationship between breast ptosis and mammographic density. *Aesthetic Plastic Surgery*, *36*(3), 643–646.

* Stellavato, A., Pirozzi, A., d'Apuzzo, F., d'Agostino, A., Paoletti, I., & Schiraldi, C. (2021). The effects of topical administration of a new pool of glycosaminoglycans on signs of skin aging. *Journal of Cosmetic Dermatology*, *20*(11), 3500–3510.

* Locke, J. E., Lye, K., & Kim, Y. (2017). The effect of smoking on dermal elasticity in the breast. *Aesthetic Plastic Surgery*, *41*(5), 1188–1193.

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Q.

That Dull Ache in Your Left Armpit: Is It Your Deodorant, Your Cycle, or Your Heart?

A.

The most common causes are irritated lymph nodes, breast tissue changes linked to your cycle, muscle strain, or skin reactions from deodorant or shaving; heart causes are less likely unless symptoms also include chest pressure, shortness of breath, nausea, sweating, or pain spreading to the jaw, neck, or arm. There are several factors to consider. See below for the key red flags, self-care steps, and when to contact a clinician or seek urgent care, which could change your next steps.

References:

* Vrdoljak T, Vuković P, Bilić M, Lugović-Mihić L. Contact Dermatitis in the Axilla: A Clinical Review. Acta Dermatovenerol Croat. 2018 Dec;26(4):313-317. PMID: 30601007.

* Sarma P, Sharma R, Sharma R, Goel S. Mastalgia: A Comprehensive Review. Clin Breast Cancer. 2018 Dec;18(6):e1151-e1158. doi: 10.1016/j.clbc.2018.06.002. Epub 2018 Jun 21. PMID: 30049755.

* Jeganathan V, Gurevich I, Gurevich M, Lim S. Atypical presentation of acute myocardial infarction. Curr Opin Cardiol. 2021 Jul 1;36(4):453-458. doi: 10.1097/HCO.0000000000000853. PMID: 33909774.

* Davies EL, Gateley CA, Mather M. Breast pain (mastalgia): causes and evaluation. Best Pract Res Clin Obstet Gynaecol. 2016 Oct;36:127-37. doi: 10.1016/j.bpobgyn.2016.08.001. Epub 2016 Aug 5. PMID: 27546252.

* Londero V, Marzuoli L, Bazzocchi M, Londero AP, Zuiani C. Differential Diagnosis of Axillary Lymphadenopathy. Semin Ultrasound CT MR. 2017 Aug;38(4):301-314. doi: 10.1053/j.sult.2017.03.003. Epub 2017 Mar 21. PMID: 28629631.

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Ubie is supervised by 50+ medical experts worldwide

Our symptom checker AI is continuously refined with input from experienced physicians, empowering them to make more accurate diagnoses.

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO

Emergency Medicine

Waukesha Memorial Hospital, Waukesha Wisconsin, USA

Caroline M. Doan, DO

Caroline M. Doan, DO

Internal Medicine

Signify Health

Benjamin Kummer, MD

Benjamin Kummer, MD

Neurology, Clinical Informatics

Icahn School of Medicine at Mount Sinai

Charles Carlson, DO, MS

Charles Carlson, DO, MS

Psychiatry

U.S. Department of Veterans Affairs

Dale Mueller, MD

Dale Mueller, MD

Cardiothoracic and Vascular Surgery

Cardiothoracic and Vascular Surgery Associates

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD

Obstetrics and gynecology

Penn State Health

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Which is the best Symptom Checker?

Which is the best Symptom Checker?

Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.

Link to full study:

https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1

References