[35F] With hard, stationary breast lump, pain, redness, and nipple discharge

What might be happening

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

• Breast Infection (Mastitis or Abscess): This is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. You mentioned that the lump is tender, red, and slightly warm, which are common signs of an infection. The milky discharge could also be related to an infection. Treatment typically involves antibiotics, and in some cases, drainage of the abscess if one is present.

• Fibroadenoma: This is a benign (non-cancerous) breast tumor that is most common in women in their 20s and 30s. These lumps are usually hard, immobile, and painless, but they can sometimes cause discomfort. They do not typically cause redness or discharge, so this might be less likely in your case.

• Breast Cyst: These are fluid-filled sacs within the breast, which can be tender and cause discomfort. They can sometimes become infected, leading to redness and warmth. However, cysts are usually smooth and movable, which does not match your description of the lump.

• Breast Cancer: While less common, it is important to consider. Breast cancer lumps are usually hard, immobile, and can be irregular in shape. They can also cause changes in the skin, such as dimpling or redness, and nipple discharge. Given the presence of a hard, immobile lump with an irregular surface, it is crucial to rule out this possibility.

What you can do

1. Consult a Healthcare Provider: It is essential to see a doctor as soon as possible for a thorough evaluation. They may recommend imaging tests like a mammogram or ultrasound and possibly a biopsy to determine the cause of the lump.

2. Keep Track of Symptoms: Use MDandMe to journal your symptoms, track any changes in the lump, and note any other symptoms you experience. This information can be very helpful for your healthcare provider.

3. Avoid Squeezing the Lump: Try not to squeeze or manipulate the lump, as this can cause further irritation or infection.

4. Maintain Good Breast Hygiene: Keep the area clean and dry. Avoid using any new lotions or creams on the affected area until you have consulted with a healthcare provider.

What you should look out for

• Increased Pain or Redness: If the pain or redness around the lump worsens, it could indicate an infection that needs prompt medical attention.

• Fever or Chills: If you develop a fever or experience chills, it could be a sign of an infection that requires antibiotics.

• Changes in the Lump: If the lump grows in size, becomes more irregular, or you notice any new lumps, seek medical attention immediately.

• Nipple Discharge: If the discharge becomes bloody or significantly increases, it is important to inform your healthcare provider.

Remember, while I can provide information and suggestions, it is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask.