What if there is a lump in the breast that doesn't hurt?

I believe that many women have had lumps in their breasts, especially middle-aged or young and middle-aged women. Because the breasts will undergo some changes after lactation, many women think that the lumps in the breasts do not cause any pain or itching, so they ignore them. However, if they are serious, they will seriously endanger breast health. What is the reason why there are lumps in the breasts but no pain?

Common diseases and symptoms;

The vast majority of breast lumps found clinically are benign lesions, such as breast adenosis, breast fibroadenoma, breast cysts, intraductal papilloma, breast duct ectasia and breast tuberculosis. Breast adenosis is also known as breast hyperplasia. Judging from the characteristics of the lumps, breast adenosis often causes multiple nodules of varying sizes and unclear boundaries to be found in both breasts simultaneously or successively, which can be pushed. Breast fibroadenomas are mostly solitary, with clear boundaries, neat edges, smooth surfaces, and are movable. Breast cysts are small, smooth, movable swellings that form when breast tissue ages.

Intraductal papilloma is often felt as a round, soft mass under the areola or at the edge of the areola, with a diameter generally ranging from 0.3 to 1 cm, and most cases are accompanied by nipple discharge. Mammary duct ectasia, also known as plasma cell mastitis, often presents as the first symptom a lump with irregular edges and an uneven surface. It is often located deep in the areola and is usually less than 3 cm in size. Breast tuberculosis usually presents as isolated nodules at the beginning, gradually forming one or several lumps with unclear boundaries and easy adhesion to the skin. Only a small number of breast lumps are cancerous. Breast cancer lumps are mostly single nodules with irregular edges. Most are hard in texture and often adhere to the skin.

Breast lumps are a common sign of breast disease. Women's breasts are naturally uneven, and the lumps that many women discover themselves are simply areas of normal breast bulge that become more obvious and easier to touch before their period.

diagnosis;

In most inflammatory breast cancers, no lumps can be felt clinically. The breasts become diffusely hardened and enlarged, and the local skin becomes red, swollen, hot, and painful, resembling acute inflammation. The difference is that there are no systemic symptoms such as chills and fever, and the white blood cell count is often within the normal range. It should be differentiated from acute mastitis. Another type of breast cancer in which no lump can be felt is occult breast cancer. The primary lesion in the breast is often very small, only 1 to 2 mm, and is difficult to detect through clinical examination. Instead, the first symptom is axillary lymph node metastasis. Breast X-ray examination is helpful in detecting the primary lesion.