The takeaway
Many hard lumps in breast tissue are harmless. They can be caused by hormonal changes and might come and go on their own. These lumps are often easily moved with your fingers and might be tender to the touch. Lumps caused by breast cancer generally don't cause pain and can't be easily moved.
Normal breast tissue often feels nodular (lumpy) and varies in consistency from woman to woman. Even within each individual woman, the texture of breast tissue varies at different times in her menstrual cycle, and from time to time during her life.
Breast tissue can be lumpy or dense, and that's normal. It's a good idea to do monthly breast exams to get to know your breast tissue and what is normal for you. If you feel a lump that you've never felt or noticed before, or a lump that worries you, call your doctor.
A painless, hard mass that has irregular edges is more likely to be cancer, but breast cancers can be also soft, round, tender, or even painful. Other possible symptoms of breast cancer include: Swelling of all or part of a breast (even if no lump is felt) Skin dimpling (sometimes looking like an orange peel)
But some produce almost more milk than their breasts can hold, which makes them feel rock hard and uncomfortably full – a condition called engorgement. While this is usually only temporary, the 24 to 48 hours it typically lasts for can be painful.
Fibrocystic breast changes lead to the development of fluid-filled round or oval sacs (cysts) and more prominent scar-like (fibrous) tissue, which can make breasts feel tender, lumpy or ropy. Fibrocystic breasts are composed of tissue that feels lumpy or ropelike in texture.
Normal breast tissue can sometimes feel lumpy, but at times, you may feel a firm bump, nodule or firm or hard feeling in your breast that seems a little different.
Fibrocystic breast changes happen when women develop fluid-filled cysts along with areas of fibrosis in one or both breasts. (You may see this referred to as fibrocystic breast disease, but it's not really a disease.) Fibrosis is a thickening of the breast tissue that you and your doctor can feel through the skin.
What typically differentiates a benign breast lump from a cancerous breast lump is movement. That is, a fluid-filled lump that rolls between the fingers is less likely to be cancerous than a hard lump in your breast that feels rooted in place. Another rule of thumb has to do with pain.
Breast cysts: Fluid-filled sacs form when fluid becomes trapped in the milk ducts. Cysts are common in premenopausal women. Fibroadenomas: This benign (noncancerous) lump is the most common breast tumor in young women (20s and 30s). Fibroadenomas are most common during a person's reproductive years.
Fibroadenomas are solid, smooth, firm, noncancerous (benign) lumps that are most commonly found in women in their 20s and 30s. They are the most common benign lumps in women and can occur at any age. They are increasingly being seen in postmenopausal women who are taking hormone therapy.
Changing hormone levels can cause changes in the milk ducts or milk glands. These changes in the ducts and glands can cause breast cysts, which can be painful and are a common cause of cyclic breast pain. Noncyclic breast pain may be caused by trauma, prior breast surgery or other factors.
The way that lump feels can provide plenty of information. Breast cancer tumors are rigid with firm, angular edges. They feel more like rocks than grapes. “A tumor won't be smooth like a cyst.
A breast lump that's painless, hard, irregularly shaped and different from surrounding breast tissue might be breast cancer. Skin covering the lump may look red, dimpled or pitted like the skin of an orange. Your breast size and shape may change, or you may notice discharge from the nipple.
A moveable lump means that you can easily move it beneath the skin with your fingertips.
A lump or mass in the breast is the most common symptom of breast cancer. Lumps are often hard and painless, although some are painful.
Breast cancer usually feels like a hard or firm lump (nodule). It usually is irregular in shape (it does not have smooth edges) and may feel like it is attached (fixed) to skin or tissue deep inside the breast so that it cannot be moved without moving breast tissue.
However, the only way to confirm whether a cyst or tumor is cancerous is to have it biopsied by your doctor. This involves surgically removing some or all of the lump. They'll look at the tissue from the cyst or tumor under a microscope to check for cancer cells.
Commonly developing from the mammary glands or ducts, such malignant lumps generally (about 50 percent) appear in the upper, outer quadrant of the breast, extending into the armpit, where tissue is thicker than elsewhere.
Women should also be aware if their breasts become asymmetrical—meaning one breast appears firmer or larger than the other. “It could mean a mass is pulling the breast to the chest wall,” says Dr.
Dense breast tissue: A dense breast has relatively less fat and more glandular and connective tissue. This mammogram finding is both common and normal, especially among younger women and women who use menopausal hormone therapy.
Hormones called oestrogens increase before a period, causing milk ducts and glands to swell. This can trap fluid in the breasts and cause swelling and lumpiness. Young women usually have dense breasts because their milk systems might be needed for feeding babies.