Breast Pain: Symptoms & Signs

The most common cause of breast discomfort is from the effects of hormones on breast tissue from the female menstrual period. Many women experience mild monthly breast pain in conjunction with their periods (menses). For some women, however, the pain can be more severe. This premenstrual breast pain is referred to as cyclic breast discomfort. The exact cause of cyclic breast discomfort has not been determined.

Much less common causes of breast pain include benign growths (tumors) in the breasts (including cysts), breast cancer, and certain medications. It should be noted that breast cancers are often painless and can be detected by manual examination, mammogram, or ultrasound of the breast. Breast pain is called mastodynia, mastalgia, or mammalgia by physicians.

Breast lumps facts

  • Breast lumps can be caused by infections, injuries, non-cancerous growths, and cancer.
  • Breast cancer usually causes no pain in the breast. The symptoms of breast cancer include painless breast lumps, nipple discharge, and inflammation of the skin of the breast.
  • The chances that a particular breast lump could be cancerous depends on many factors, including past medical history, physical examination, as well as genetic and other risk factors.
  • The only way to be certain that a lump is not cancerous is to have a tissue sampling (biopsy). There are several ways to do the biopsy. The treatment of a breast lump depends on its cause.

What are causes of breast lumps?

There are many causes of breast lumps. Some of these causes are harmless, while others can be painful and/or dangerous. Causes of breast lumps include infections, injuries, non-cancerous growths, and cancer.

Breast cancer is the second leading cause of cancer-related deaths in women in the United States. Currently, death rates from breast cancer are declining. The decline in death rates may be due to a combination of earlier detection and better screening as well as improved treatments. While most breast lumps are harmless (benign), every breast lump should be evaluated by a doctor to exclude or establish a diagnosis of cancer.

Infections that cause breast lumps

Inflammation of the breast tissue is known as mastitis. Mastitis may occur in women who are breastfeeding a baby (lactating). When the skin of the nipple (areola) is injured or cracked, which may occur with nursing, bacteria can enter the damaged area and cause infections. In a breastfeeding woman, a hard area commonly thought of as a "clogged milk duct" can form. Sometimes, certain treatments (see below) can prevent the painful, hard area from developing into an actual breast infection. Infections can either be a deep pocket of pus, in which the infection looks like it is growing down into the breast (an abscess), or a wider area of skin redness that spreads out (cellulitis). Body piercing in the nipple area increases the risk of breast infections, and these may be particularly difficult to treat.

Injuries that cause breast lumps

If a breast is injured by trauma, tiny blood vessels can rupture to cause an area of localized bleeding (hematoma) that can be felt as a lump. Trauma to the breast can damage the fat cells in the breast tissue, a condition called fat necrosis. The injury can also form a lump in the breast. These types of lumps that follow a significant trauma are not cancerous. Fat necrosis can also occur at the site of a previous breast biopsy.

Non-cancerous growths that cause breast lumps

  • Fibroadenomas are benign (not cancerous) growths and are very common. These growths most commonly occur in women 30 to 35 years old, but can also occur in women under 30 years of age. Fibroadenomas are solid, firm tumors that are usually painless or only slightly tender. They sometimes grow quickly in teenagers or during pregnancy.
  • Breast cysts are fluid-filled, sacs within the breast tissue and are benign. They are very common, especially over the age of 35. These cysts often vary in size during the menstrual cycle and may be tender.
  • Fibrocystic changes are characterized by breasts that are lumpy with many irregularities in the breast tissue itself. Fibrocystic breasts seem to occur when a woman's breasts are overly sensitive to fluctuating hormone levels. Women with fibrocystic changes may have pain and/or lumps.
 https://www.medicinenet.com/breast_pain/symptoms.htm