Patient education

Breast Lump

A breast lump may come from a cyst, infection, hormonal change, or another breast condition. Any new or changing lump should be evaluated.

Fully clothed patient discussing a newly noticed breast lump with a clinician beside a discreet breast-tissue illustration
Most breast lumps are not cancer, but every new or changing lump needs appropriate clinical evaluation.
Overview

About breast lump

A breast lump may come from a cyst, infection, hormonal change, or another breast condition. Any new or changing lump should be evaluated.

Causes

What can cause it?

Breast lumps may be cysts, fibroadenomas, infection, hormonal tissue changes, fat injury, or cancer.

Most lumps are not cancer, but examination and age-appropriate imaging are needed to determine the cause.

Symptoms

What a patient may notice

Symptoms vary from person to person. Possible signs may include:

  • New lump or thickened area
  • Change in breast shape, skin, or nipple
  • Tenderness, redness, warmth, or nipple discharge
Exams and Tests

How clinicians find the cause

Evaluation includes breast and lymph-node examination and review of pregnancy, menstrual pattern, family history, and prior imaging. Ultrasound, mammography, and sometimes needle biopsy are used based on age and findings.

Treatment

Treatment and next steps

  1. 1

    Treatment depends on the diagnosis; cysts may be observed or drained, infection may need antibiotics or drainage, and suspicious findings need breast-specialist care.

  2. 2

    Do not rely on pain or mobility of a lump to decide whether it is harmless.

  3. 3

    Continue recommended routine screening.

Supporting recovery

  • Note when the lump was first felt and whether it changes with the menstrual cycle.
  • Avoid repeatedly squeezing the area.
  • Bring prior breast-imaging reports when available.
Outlook (Prognosis)

What to expect

Most breast lumps are not cancerous, but appearance and touch alone cannot reliably determine the cause. Benign cysts and fibroadenomas may be observed, drained, biopsied, or removed depending on symptoms and imaging. Completing every recommended test is the safest way to establish the outlook.

Possible complications

  • Pain, enlargement, bleeding, or infection depending on the type of lump
  • An abscess requiring drainage when infection is present
  • Delayed diagnosis and treatment if a cancerous or suspicious lump is not fully evaluated
Follow-up: Complete all recommended imaging or biopsy. Return sooner for rapid growth, skin dimpling, nipple inversion or bloody discharge, redness with fever, or a new armpit lump.
Prompt evaluation

When to Contact a Medical Professional

Arrange an evaluation when symptoms are new, worsening, interfering with normal activities, or not improving as expected.

Fever with a red painful breast, rapidly spreading redness, severe illness, or a breast injury with major swelling needs prompt care.
Call 911 now

Get emergency help for severe trouble breathing, new chest pressure, fainting, seizure, sudden weakness on one side, uncontrolled bleeding, blue or gray lips, or a person who is difficult to wake.

Prevention

Ways to lower risk

  • Many benign and malignant lumps cannot be prevented.
  • Know your usual breast appearance and keep screening appointments based on age and risk.
References

Trusted health information

This CHS patient-education page uses original wording and links to MedlinePlus for additional information.

MedlinePlus: Breast Lump ↗