[28F] With a hard breast lump and surrounding soreness

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Breast Cyst or Fibroadenoma: These are common benign (non-cancerous) breast conditions. Cysts are fluid-filled sacs, while fibroadenomas are solid, smooth, and firm lumps. They can cause discomfort and swelling in the surrounding breast tissue. Typically, these conditions are not painful, but they can cause tenderness in the surrounding area.

  • Diagnosis and Treatment: A healthcare provider may perform a physical exam, ultrasound, or mammogram to evaluate the lump. If it's a cyst, it might be drained. Fibroadenomas are often monitored over time unless they cause significant discomfort or changes.

• Mastitis or Breast Infection: This is an infection of the breast tissue that can cause pain, swelling, and redness. It's more common in breastfeeding women but can occur in others as well.

  • Diagnosis and Treatment: A doctor can diagnose mastitis through a physical exam. Treatment typically involves antibiotics and pain relief measures.

• Breast Cancer: While less common, especially in younger women, the presence of a hard, immovable lump with skin changes like wrinkling or pitting can be concerning for breast cancer. Given your family history, it's important to have this evaluated.

  • Diagnosis and Treatment: A healthcare provider may recommend imaging tests like a mammogram or ultrasound, and possibly a biopsy to determine if the lump is cancerous. Treatment varies widely depending on the type and stage of cancer.

What you can do

1. Seek Medical Evaluation: It's important to see a healthcare provider as soon as possible for a thorough evaluation. They can perform the necessary tests to determine the cause of the lump and skin changes.

2. Monitor Changes: Keep track of any changes in the size, shape, or feel of the lump, as well as any new symptoms. This information will be helpful for your healthcare provider.

3. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track any changes, and share this information with your healthcare provider. This can provide valuable insights and help in managing your condition.

What you should look out for

• Seek Immediate Care If: You notice rapid changes in the lump, develop a fever, or experience significant pain or redness spreading across the breast.
• Watch for New Symptoms: Such as nipple discharge, especially if it's bloody, or any new lumps in the breast or underarm area.

Remember, while this information can help guide you, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.