[44F] Concerned about a hard, fixed breast lump

What might be happening

Based on the information you've provided, the following conditions might be considered:

• Fibrocystic Breast Changes: These are common and often increase in size and tenderness in the days before your period. They are typically round or oval, movable, and may disappear after your period. However, you mentioned that your lump is hard and fixed, which is less typical for fibrocystic changes.

  • Treatment: Over-the-counter pain relievers and wearing a supportive bra can help manage symptoms.

• Breast Cysts: These are fluid-filled sacs that can feel like a hard lump. They can be round or oval and are usually movable. Again, your lump being hard and fixed is less typical for cysts.

  • Treatment: If a cyst is large and painful, draining the fluid can relieve symptoms.

• Breast Cancer: This is a malignant tumor that can grow in one or several areas of the breast. It may present as a hard, immovable lump. Other symptoms can include changes to the skin or the nipple, but these are not always present.

  • Treatment: Treatment options for breast cancer include surgery, radiation therapy, chemotherapy, hormone therapy, and targeted therapy.

What you can do

It's important to get any new breast lump evaluated by a healthcare professional. They can perform a physical exam and may order further tests such as a mammogram or ultrasound. In some cases, a biopsy may be needed to rule out cancer.

What you should look out for

Seek immediate medical attention if you notice:

• Rapid increase in the size of the lump
• Changes in the skin over the lump or on the breast, such as dimpling, puckering, redness, or scaling
• Changes in your nipple, such as redness or scaling, or a nipple that begins to turn inward
• Discharge from your nipple

Remember, I'm an AI and this advice is based on the information you've given me. It's always best to consult with a healthcare professional for an accurate diagnosis.