What If I Have A Lump In My Breast
As you grow and develop, you will probably notice small lumps and other changes in your breasts. You might also find your breasts are sensitive and tender around the time of your period. If you feel a lump in your breast, don’t panic breast cancer is extremely rare in teens. For teen girls, the most common type of breast lump is usually just part of normal breast growth.
Lots of girls and women have something called fibrocystic breast changes. This is when small fluid-filled cysts in the breasts change size based on where a girl is in her menstrual cycle. Because these cysts have to do with normal hormone changes, they are typically more obvious and may hurt a bit just before a girl’s period. Fibrocystic breast changes are nothing to worry about and don’t need any kind of medical treatment.
Infections also can cause breast lumps. So can an injury to the breast like getting hit in the chest while playing sports.
If you’re worried about a lump in your breast, talk to your doctor. Also call your doctor if you have any of these problems:
- pain in your breast that seems unrelated to your period
- a red, hot, or swollen breast
- fluid or bloody discharge from your nipple
- a lump in your armpit or near your collarbone
Most breast lumps are nothing to worry about, but it always helps to talk to a doctor or nurse about what to expect as your breasts grow. Getting checked out gives you peace of mind.
Stage 3 Breast Cancer
- Stage 3A:
- The cancer has spread to 49 axillary lymph nodes or has enlarged the internal mammary lymph nodes, and the primary tumor can be any size.
- Tumors are greater than 5 cm, and the cancer has spread to 13 axillary lymph nodes or any breastbone nodes.
What Is Inflammatory Breast Cancer
Inflammatory breast cancer is a rare and very aggressive disease in which cancer cells block lymph vessels in the skin of the breast. This type of breast cancer is called inflammatory because the breast often looks swollen and red, or inflamed.
Inflammatory breast cancer is rare, accounting for 1 to 5 percent of all breast cancers diagnosed in the United States. Most inflammatory breast cancers are invasive ductal carcinomas, which means they developed from cells that line the milk ducts of the breast and then spread beyond the ducts.
Inflammatory breast cancer progresses rapidly, often in a matter of weeks or months. At diagnosis, inflammatory breast cancer is either stage III or IV disease, depending on whether cancer cells have spread only to nearby lymph nodes or to other tissues as well.
Additional features of inflammatory breast cancer include the following:
- Compared with other types of breast cancer, inflammatory breast cancer tends to be diagnosed at younger ages.
- Inflammatory breast cancer is more common and diagnosed at younger ages in African American women than in white women.
- Inflammatory breast tumors are frequently hormone receptor negative, which means they cannot be treated with hormone therapies, such as tamoxifen, that interfere with the growth of cancer cells fueled by estrogen.
- Inflammatory breast cancer is more common in obese women than in women of normal weight.
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What Do The Experts Say
Several groups of experts have looked at the available studies on the possible link between abortion and breast cancer.
In 2003, the US National Cancer Institute held a workshop of more than 100 of the worlds leading experts who study pregnancy and breast cancer risk. The experts reviewed human and animal studies that looked at the link between pregnancy and breast cancer risk, including studies of induced and spontaneous abortions. Some of their findings were:
- Breast cancer risk is increased for a short time after a full-term pregnancy .
- Induced abortion is not linked to an increase in breast cancer risk.
- Spontaneous abortion is not linked to an increase in breast cancer risk.
The level of scientific evidence for these findings was considered to be well established .
The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice also reviewed the available evidence in 2003 and again in 2009. In 2009, the Committee said, Early studies of the relationship between prior induced abortion and breast cancer risk were methodologically flawed. More rigorous recent studies demonstrate no causal relationship between induced abortion and a subsequent increase in breast cancer risk.
Are Women Under 40 At Risk For Breast Cancer
Younger women generally do not consider themselves to be at risk for breast cancer. However, breast cancer can strike at any age: 5% of breast cancer cases occur in women under 40 years of age. All women should be aware of their personal risk factors for breast cancer.
There are several factors that put a woman at higher risk for developing breast cancer, including:
- A personal history of breast cancer or a high risk lesion found by biopsy
- A family history of breast cancer, particularly at an early age
- A family history that is concerning for a genetic syndrome that may put them at a higher risk for breast cancer
- History of radiation therapy to the chest
- A known genetic mutation conferring a high risk for the development of breast cancer
- Ashkenazi Jewish ancestry
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Causes Of Breast Cancer In Teens
Doctors arent entirely sure what causes teenage breast cancer because there are so few cases.
In general, though, its thought that childhood cancers develop because of changes in cells and DNA that occur early in life. These changes can even happen while youre still in the womb.
However, if you introduce these unhealthy behaviors early in life, they can increase your risk for breast cancer when youre older.
Soft Tissue And Bone Cancers
Sarcomas are cancers that start in connective tissues such as muscles, bones, or fat cells. There are 2 main types of sarcoma:
- Soft tissue sarcomas
- Bone sarcomas
Sarcomas can develop at any age, but some types occur most often in older teens and young adults.
Soft tissue sarcomas: These cancers can start in any part of the body, but they often develop in the arms or legs. Rhabdomyosarcoma, a cancer that starts in cells that normally develop into skeletal muscles, is most common in children younger than 10, but it can also develop in teens and young adults. Most other types of soft tissue sarcomas become more common as people age. Symptoms depend on where the sarcoma starts, and can include lumps , swelling, or bowel problems.
Bone sarcomas: The 2 most common types of bone cancer,osteosarcoma and Ewing sarcoma, are most common in teens, but they can also develop in young adults. They often cause bone pain that gets worse at night or with activity. They can also cause swelling in the area around the bone.
Osteosarcoma usually starts near the ends of the leg or arm bones. The most common places for Ewing sarcoma to start are the pelvic bones, the bones of the chest wall , or in the middle of the leg bones.
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Cancers Of The Female Genital Tract
Cervical cancer tends to occur in midlife. Most often it is found in women younger than 50. It rarely occurs in women younger than 20. Most cervical cancers can be found early, or even prevented, with screening tests. Vaccines against HPV, the virus linked to most cervical cancers, can also help prevent it. The most common symptom of cervical cancer is abnormal vaginal bleeding.
Overall, ovarian cancer is much more common in older women than in women younger than 40. But some less common types of ovarian cancers, known as germ cell tumors, are more common in teens and young women than in older women. Early ovarian cancer usually does not cause symptoms, but some women might feel full quickly when eating or they might have abnormal bloating, belly pain, or urinary symptoms. Women who have any of these symptoms lasting more than a few weeks should see their doctor.
When To See Your Doctor
It’s important to talk to your physician if you have breast pain from any cause. Even if it’s not due to cancer, many women find that breast pain decreases their quality of life. In one study,15% of the women experienced breast pain at some time in their life that interfered with work and family activities. So, make sure to talk to your doctor if you are experiencing any suspicious discomfort.
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Types Of Breast Cancer
There are several types of breast cancer, and theyre broken into two main categories: invasive and noninvasive, or in situ.
While invasive cancer has spread from the breast ducts or glands to other parts of the breast, noninvasive cancer has not spread from the original tissue.
These two categories are used to describe the most common types of breast cancer, which include:
- Ductal carcinoma in situ. Ductal carcinoma in situ is a noninvasive condition. With DCIS, the cancer cells are confined to the ducts in your breast and havent invaded the surrounding breast tissue.
- Lobular carcinoma in situ. Lobular carcinoma in situ is cancer that grows in the milk-producing glands of your breast. Like DCIS, the cancer cells havent invaded the surrounding tissue.
- Invasive ductal carcinoma. Invasive ductal carcinoma is the most common type of breast cancer. This type of breast cancer begins in your breasts milk ducts and then invades nearby tissue in the breast. Once the breast cancer has spread to the tissue outside your milk ducts, it can begin to spread to other nearby organs and tissue.
- Invasive lobular carcinoma. Invasive lobular carcinoma first develops in your breasts lobules and has invaded nearby tissue.
Other, less common types of breast cancer include:
The type of cancer you have determines your treatment options, as well as your likely long-term outcome.
How Breast Cancer Spreads And Recurs
Breast cancer is frightening enough without the fear that it could travel to other parts of the body. Metastasis is the term for the spread of cancer. About 250,000 women are diagnosed with breast cancer and roughly 40,000 will die from the disease each year. When breast cancer is diagnosed in the early stages, many women go on to live cancer-free lives.
Yet for others, the disease is metastatic at the time of diagnosis or later recurs. It’s thought that metastatic disease is responsible for around 66% of the deaths related to breast cancer. How does breast cancer spread or recur?
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Cohort And Other Prospective Studies
The largest, and probably the most reliable, study on this topic was done during the 1990s in Denmark, a country with very detailed medical records on all its citizens. In this study, all Danish women born between 1935 and 1978 were linked with the National Registry of Induced Abortions and with the Danish Cancer Registry. All of the information about their abortions and their breast cancer came from registries it was very complete and was not influenced by recall bias.
After adjusting for known breast cancer risk factors, the researchers found that induced abortion had no overall effect on the risk of breast cancer. The size of this study and the manner in which it was done provide good evidence that induced abortion does not affect a womans risk of developing breast cancer.
Another large cohort study was reported on by Harvard researchers in 2007. This study included more than 100,000 women who were between the ages of 29 and 46 at the start of the study in 1993. These women were followed until 2003. Because they were asked about childbirths and abortions at the start of the study, recall bias was unlikely to be a problem. After adjusting for known breast cancer risk factors, the researchers found no link between either spontaneous or induced abortions and breast cancer.
A French cohort study of more than 100,000 women, published in 2003, also found no link between induced abortion and breast cancer risk.
Statistics On Breast Cancer & Pain
A breast tumora hard clump of breast cancer cellsusually doesn’t usually cause breast pain unless it reaches the size of two centimeters in diameter or greater. But a tumor can be larger than two centimeters and still not cause pain.
In fact,only about 5% to 15% of women newly diagnosed with breast cancer complain of breast pain. Only 7% of those diagnosed with breast cancer seek a doctor because of breast pain, excluding other symptoms.
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Why Dont All Of The Studies Agree
Induced abortion brings up many strong feelings in people, so it is often hard to study its long-term effects.
Before 1973, induced abortions were illegal in much of the United States. So when researchers asked a woman about past pregnancies, she may not have felt comfortable saying that she had an abortion. Even though abortion is now legal, it is still a very personal, private matter that many women do not like to talk about. This means that many women might not report having an abortion if asked for a study. In contrast, women with breast cancer are more likely to accurately report their reproductive histories, including a history of having an abortion. This recall bias could lead to retrospective studies finding links that arent found in prospective studies. Still, not everyone agrees that this is the reason that the different types of studies conflict.
In general, though, when prospective and retrospective studies conflict, experts generally accept the results of the prospective studies over the retrospective studies.
Frequently Asked Questions About Breast Cancer In Young Women
A: Although it is extremely rare, four women under the age of 20 were diagnosed with breast cancer in Australia in 2020. . Breast cancer is more common in women over 50.
A: Breast cancer in teenagers is extremely rare with only four cases reported in Australia in 2020. In 2020 in Australia 19,807 women were diagnosed with breast cancer, 99 were in their 20s and 889 were in their 30s. Although teenagers may experience lumps when their breasts develop, these are more than likely to be benign, meaning theyre harmless. If you are concerned, talk to your GP or local family cancer clinic.
A: Yes. Although it is uncommon, it is possible for women in their 20s to get breast cancer. In 2020, 99 women aged between 20-29 were diagnosed with the disease in Australia, making up less than 1% of all women diagnosed.
A: It is important that young women know the changes in their breasts that could indicate the presence of breast cancer. One of the most effective methods of early detection of breast cancer for young women is being breast aware, knowing the feel and look of their breast so any new or unusual change can be detected. Common changes that could be due to breast cancer include:
These changes do not necessarily mean a young woman has breast cancer. However, if a young woman notices these, or any other, changes in the breast, she should see her doctor. See here for more information on breast cancer symptoms.
See here for more information on breast cancer symptoms.
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Symptoms Included In This Guide Are: Breast Pain Breast Lump Breast Size Shape Or Symmetry Questions Redness Of Breast
- Breast lump: fibroadenoma, cyst. See Breast Lump details below
- Nipple discharge: milk, blood, pus, clear fluid
- Acute breast pain with redness : often an infection.
- Acute breast pain and fullness without redness : always consider pregnancy
- Recurrent breast pain with menstrual periods: cyclic mastalgia. See details below.
- Chronic breast pain, unrelated to menstrual period and usually just one side: fibroadenoma, cyst. Marijuana use can cause breast pain.
Practical Problems Abound For Young Breast Cancer Patients
In May, Elizabeth Bryndza, a 19-year-old sophomore at the College of New Jersey, underwent a bilateral mastectomy to remove both breasts. Two weeks before, she had found a lump of cancerous cells in her right breast.
“I never thought that I wouldn’t survive it,” said Bryndza, now 20. “I’m still going to be me, and I’ll fight as hard as I can.”
But there are practical problems that make younger women more vulnerable than older women to the challenges of a breast cancer diagnosis.
Young women are more likely to be treated aggressively for breast cancer than older women because, since they’ve rarely had regular screenings or mammograms, they are less likely to detect early-stage tumors. Young age is an independent risk factor for recurrent cancer, regardless of a family history of cancer, or a genetic predisposition to have BRCA gene mutations.
And since doctors see so few young women with breast cancer, there is a gap in research about fertility, early-onset menopause and other effects of diagnosis, treatment and outcomes in young women.
Young Women Feel More Invincible in the Face of Cancer
Chemotherapy may affect a young woman in many ways, including her ability to have children in the future. But for teenagers, concerns such as body image, sexuality, beauty and peers loom larger.
“At that time, as a teen, you think you’re invincible,” Bryndza said. “I sort of saw the whole thing as a big inconvenience.”
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