[36F] With painful breast lumps and asymmetry

What might be happening

Based on the information you’ve provided, there are a few potential explanations for your symptoms. Here are the most serious possibilities:

1. Breast Cancer: The presence of hard, irregularly shaped lumps, especially with associated swelling in the armpit, can be concerning for breast cancer. Breast cancer can present with lumps that are hard and immovable, and changes in breast size. Immediate evaluation by a healthcare professional is crucial to rule out this possibility. Typical treatments may include surgery, radiation, chemotherapy, or hormone therapy, depending on the stage and type of cancer.

2. Breast Infection (Mastitis): Although less likely given the absence of skin changes and fever, mastitis can cause painful lumps and swelling. This is more common in breastfeeding women but can occur in others. Treatment usually involves antibiotics and pain relief.

3. Fibrocystic Breast Changes: These are non-cancerous changes that can cause lumps, pain, and swelling in the breasts. They are often related to hormonal changes and can be managed with lifestyle changes, pain relief, and sometimes hormonal treatments.

4. Benign Breast Tumors (Fibroadenomas): These are non-cancerous tumors that can feel hard and are usually painless. They are more common in younger women and can be monitored or removed if necessary.

What you can do

1. Seek Immediate Medical Attention: Given the potential seriousness of your symptoms, it is essential to see a healthcare professional as soon as possible. You should contact your primary care physician or a specialist in breast health. If you experience any worsening symptoms, such as increased pain, fever, or additional swelling, go to the emergency room.

2. Get Diagnostic Tests: Your doctor may recommend a mammogram, ultrasound, or MRI to get a clearer picture of what is happening in your breast. A biopsy may also be necessary to determine if the lumps are cancerous.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the size and feel of the lumps, any new symptoms, or changes in your overall health. This information will be helpful for your healthcare provider.

4. Avoid Self-Diagnosis: While it’s good to be informed, only a healthcare professional can provide a definitive diagnosis. Avoid jumping to conclusions based on internet searches.

5. Stay Calm and Informed: While it’s natural to feel anxious, try to stay calm and gather as much information as you can from reliable sources. Websites like the Mayo Clinic and the American Cancer Society can provide trustworthy information.

Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from a real health professional to receive a formal diagnosis and appropriate treatment. If you feel that your symptoms are worsening or you are in severe pain, please call 911 or have someone take you to the nearest emergency room immediately.