“I noticed a lump while taking bath, Could be
“I do not undergo surgery, is it curable with
A woman can encounter a broad variety of problematic
breast conditions. These include normal changes that
occur during the menstrual cycle as well as several
types of benign lumps. Most of the lumps are non cancerous,
only few warrant a biopsy. These normal features can
sometimes make the breasts feel lumpy, especially in
women who are thin or who have small breasts.
of a breast
has 15 to 20 sections, called lobes, each lobule with
many smaller lobules. The lobules end in dozens of tiny
bulbs, which secrete milk. Thin tubes called ducts link
all lobes, lobules and bulbs. These ducts lead to the
nipple, which is centered in a dark area of skin called
the areola. The spaces between the lobules and ducts
are filled with fat. There are no muscles in the breast,
but muscles lie under each breast and cover the ribs.
There are many factors that influence
growth of breasts. These include nutrition and genetics,
both because of hormone stimulation. Breast growth
is one of the important things that happen during
puberty. The hormones produced by the pituitary gland
are responsible for producing a variety of hormones.
One of the earliest signs that puberty has begun is
enlargement of the breasts as a result of increased
production of ovarian estrogen stimulated by these
pituitary hormones. Boys also often experience breast
enlargement during the early stages of their pubertal
growth spurt, but their breasts usually shrink in
size after one or two years. As long as estrogen continues
to be secreted in females, breasts will grow and maintain
their size. Naturally, breasts enlarge during pregnancy
as a result of marked increase in estrogen secretion.
Girls with poor diets and weight loss may notice that
their breasts get smaller. If these girls improved
their nutrition, their breasts would enlarge to their
a lump is felt in the breast, the first thing required
to detect is weather harmful or harmless. The benign
breast changes are harmless and malignant breast changes
Common benign breast
changes fall into several broad categories. These include
generalized breast changes, solitary lumps, nipple discharge,
infections and inflammation.
lumpiness is known by several names, including fibrocystic
changes and benign breast disease. Lumpiness, which
is sometimes described as "ropy" or "granular",
can often be felt in the area around the nipple and
areola and in the upper outer part of the breast.
menstrual cycle also brings changes in the breast tissues.
Many women experience swelling, tenderness and pain
before and sometimes during their periods. At the same
time, in one or more lumps a feeling of increased lumpiness
may develop. This is because of congestion in the breast
tissue. These lumps normally go away as the menstruation
Benign breast conditions
also include several types of distinct solitary lumps,
which may appear at any time, large or small, soft
or rubbery, fluid-filled cysts or solid mass.
are solid and round benign tumors that are made up
of both structural and glandular tissues. So that
named as “ Fibro adenoma”. Usually these
lumps are painless, and a woman finds them by themselves.
They are rubbery in consistency and can easily be
moved around. Fibroadenomas are the most common type
of tumors in women in their late teens and early twenties.
Fibroadenomas have a typically benign appearance on
mammography as smooth, round masses with a clearly
defined edge, and they can sometimes be diagnosed
with fine needle aspiration. Fibroadenomas do not
Fat necrosis is
the name given to painless, round and firm lumps formed
by damaged and disintegrating fatty tissues. This
condition typically occurs in obese women with very
large breasts. It often develops in response to a
bruise or blow to the breast, even though the woman
may not remember the specific injury. Sometimes the
skin around the lumps looks red or bruised. Fat necrosis
can easily be mistaken for cancer.
is a benign condition involving the excessive growth
of tissues in the breast lobules. It frequently causes
breast pain. Usually the changes are microscopic,
but adenosis can produce lumps, and it can often show
up on mammography as calcifications. Short of biopsy,
adenosis can be difficult to distinguish from cancer.
The usual approach is the surgical biopsy, which furnishes
both diagnosis and treatment.
Papilloma is a
small wart like growth that projects into the breast
ducts near the nipple. Any slight bump or bruise in
the area of the nipple can cause the papilloma to
bleed. Single intraductal papillomas usually affect
women nearing menopause. Multiple intraductal papillomas,
in contrast, are more common in younger women. They
often occur in both breasts and are more likely to
be associated with a lump than with nipple discharge.
Mastitis is an
infection most often seen in women who are nursing
their babies. A duct may get blocked, allowing milk
to pool, causing inflammation and then infection by
bacteria. The breast appears red and feels warm, tender
and lumpy. Sometimes, it may leads to abscess. Mammary
duct ectasia is a disease of those women-nearing menopause.
Ducts beneath the nipple become inflamed and can become
Malignant Breast Changes
Most benign breast
changes do not increase the risk of getting cancer.
Recent studies show that only certain very specific
types of microscopic changes put a woman at higher
risk. These changes feature excessive cell growth
or hyperplasia. Most of the women who have a biopsy
showing a benign condition have no evidence of hyperplasia.
These women are not at the increased risk of breast
Few percent of
the benign breast biopsies show signs of hyperplasia,
including conditions such as intraductal papilloma
and sclerosing adenosis. Hyperplasia slightly increases
the risk of developing breast cancer. Lumps that are
soft, round and smooth need not be cancerous. An irregular,
hard lump firmly anchored within the breast tissue
is more likely to be a cancer. Small nodes may be
palpated in armpits, which are lymph nodes. The skin
appears as dimpled and puckered and the discharge
is bloody. However, these are general observations,
not hard and fast rules. The only sure way to diagnose
a solid lump to be cancerous is to have some tissue
removed and examined under the microscope by the procedural
Some benign breast conditions produce
a discharge from the nipple. Since the breast is a
gland, secretions from the nipple of an adult are
not unusual, nor even necessarily a sign of disease.
Importance should be given if there is any change
in normal secretion. A milky discharge can be traced
due to various reasons, including thyroid malfunction,
oral contraceptives or other drugs.
Women with generalized breast lumpiness may have a
sticky discharge that is brown or green.
A bloody or sticky discharge is due to an intraductal
papilloma or carcinoma.
How to find?
If you discover
a lump in one breast, examine the other breast also.
If both breasts feel the same, the lumpiness is probably
physiologically. You should however, mention it to
your doctor in your next visit. But if the lump is
something new or unusual and does not go away after
your menstrual period, it is time to consult your
doctor. Note any difference in appearance between
both the breasts, including differences in size or
shape. The next step is palpation using the pads of
the fingers feel for lumps. The same is true if you
discover a discharge from the nipple or skin changes
such as dimpling or puckering. You should not let
fear delay you. It's natural to be concerned if you
find a lump in your breast. But it's important to
remember that most of all breast lumps are benign,
which means no cancer is present. The sooner the problem
is diagnosed, the sooner it can be cured.
No matter how your breast lump was
discovered, the doctor will want to begin with your
"history". The doctor will then carefully
examine your breasts and will probably schedule you
for some diagnostic procedures such as:
CT scan or MRI.
FNAC (Fine needle aspiration cytology)
examination by the doctors and mammography are the
most common and useful techniques for finding breast
cancer earlier. Ultrasound screening may be helpful
in narrowing the diagnosis for women who have suspicious
breast changes. The only certain way to learn whether
a breast lump or mammographic abnormality is cancerous
is by having a biopsy, a procedure in which tissue
is removed surgically and analysed by a pathologist
How to treat?
Few girls may n worry
about their breast development comparing others, same
age group. It is important to understand that there
is a lot of variation in the normal timing of breast
growth. It is purely on hormonal stimulation, genetic
encoding and nutrition. The development also related
to the environment, emotions since it has influence
on hypothalamus., which induces pituitary to starts
its function. The stimulated ovary release oestrogen
in the blood stream synchronously to develop the breast
tissue gradually. Any block in the axis will result
retarded growth as we see in developmental deformities
in uterine conditions. Here hormonal stimulation can
be possible with a suitable constitutional remedy.
The discovery of a breast lump usually causes anxiety
bordering on panic among many women. Most rush to
the nearest doctor and plunge into investigations
and treatment, including surgery. Incomplete assessment
and treatment, a false perception of cancer risk,
a lifelong commitment to intensive and needless breast
cancer screening, emotional and economic exhaustion
are but a few fall outs that result from all this.
The diagnostic procedure is part of the treatment.
But remember only a few, as only few lumps will be
malignant, while the other lumps are benign.
It is always better to look to seek
a medicinal help, rather than surgery. Homoeopathic
medicines have done wonderful job here! The proliferative
pathology, which is shown as a fibroadenosis, pappilloma,
and even malignant changes, falls under proliferation
generally. These tendencies are inspired as miasms
in homoeopathy. A suitable application will alleviate
the complaints. Many had escaped from surgeon’s
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