Warning Signs Of Breast Cancer That Aren’t Lumps
Breast pain or lump: Is it cancer?
A sharp pain in your breast, possibly with some tenderness, may have you wondering if it could be something serious. A breast lump is often the first thing that women and even men notice that spurs a visit to their doctor.
Although breast cancer generally shows no symptoms in the early stage, timely detection can turn a story of breast cancer into a survivor’s tale.
We often associate pain with something wrong, so when women feel tenderness or pain in their breast, they often assume it to be breast cancer. However, breast pain is rarely the first noticeable symptom of breast cancer. Several other factors can cause the pain.
Clinically known as mastalgia, breast pain can also be caused by the following:
- the fluctuation of hormones caused by menstruation
- some birth control pills
- some infertility treatments
- a bra that doesn’t fit
- breast cysts
- large breasts, which may be accompanied by neck, shoulder, or back pain
- stress
Although a lump in the breast is typically associated with breast cancer, much of the time such lumps aren’t cancer. According to the Mayo Clinic, most are benign, or noncancerous.
Common causes of benign breast lumps include:
- breast infection
- fibrocystic breast disease (“lumpy breasts”)
- fibroadenoma (noncancerous tumor)
- fat necrosis (damaged tissue)
With fat necrosis, the mass can’t be distinguished from a cancerous lump without a biopsy.
Even though the majority of breast lumps are caused by less severe conditions, new, painless lumps are still the most common symptom of breast cancer.
Early on, a woman may notice a change in her breast when she performs a monthly breast exam or minor abnormal pain that doesn’t seem to go away. Early signs of breast cancer include:
- changes in the shape of the nipple
- breast pain that doesn’t go away after your next period
- a new lump that doesn’t go away after your next period
- nipple discharge from one breast that is clear, red, brown, or yellow
- unexplained redness, swelling, skin irritation, itchiness, or rash on the breast
- swelling or a lump around the collarbone or under the arm
A lump that is hard with irregular edges is more likely to be cancerous.
Later signs of breast cancer include:
- retraction, or inward turning of the nipple
- enlargement of one breast
- dimpling of the breast surface
- an existing lump that gets bigger
- an “orange peel” texture to the skin
- vaginal pain
- unintentional weight loss
- enlarged lymph nodes in the armpit
- visible veins on the breast
Having one or more of these symptoms doesn’t necessarily mean you have breast cancer. Nipple discharge, for example, can also be caused by an infection. See your doctor for a complete evaluation if you experience any of these signs and symptoms.
When you visit your doctor with concerns about breast pain, tenderness, or a lump, there are common tests they might perform.
Physical examination
Your doctor will examine your breasts and the skin on your breasts, as well as check for nipple problems and discharge. They may also feel your breasts and armpits to look for lumps.
Medical history
Your doctor will ask you questions about your health history, including any medications you might be taking, as well as the medical history of immediate family members.
Because breast cancer can sometimes be related to your genes, it’s important to tell your doctor about any family history of breast cancer. Your doctor will also ask you about your symptoms, including when you first noticed them.
Mammogram
Your doctor may request a mammogram, which is an X-ray of the breast, to help distinguish between a benign and malignant mass.
Ultrasound
Ultrasonic sound waves can be used to produce an image of breast tissue.
MRI
Your doctor may suggest an MRI scan in conjunction with other tests. This is another noninvasive imaging test used to examine breast tissue.
Biopsy
This involves removing a small amount of breast tissue to be used for testing.
There are two categories that reflect the nature of breast cancer:
- Noninvasive (in situ) cancer is cancer that hasn’t spread from the original tissue. This is referred to as stage 0.
- Invasive (infiltrating) cancer is cancer that has spread to surrounding tissues. These are categorized as stages 1, 2, 3, or 4.
The tissue affected determines the type of cancer:
- Ductal carcinoma is a cancer that forms in the lining of the milk ducts. This is the most common type of breast cancer.
- Lobular carcinoma is cancer in the lobules of the breast. The lobules are where milk is produced.
- Sarcoma is cancer in the breast’s connective tissue. This is a rare type of breast cancer.
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