●Breast Pain: Mastitis or IBC?
●Breast Pain or Tenderness
●Breast Pain: Cyclical and Noncyclical
●Breast Pain: Should You Worry?
●Breast Pain And Breast Cancer Risk
●Breast Cancer Pain: Symptoms and Statistics
科学证实，BRC-1 和BRC-2是乳腺癌的风险基因，可以在国内设有“基因门诊”的 医院或科研单位检查是否携带这两种基因。有乳腺癌家族史、长期吸烟和习惯食用红色肉类（牛肉、羊肉等深色肉类）的女性，可以加查SBC基因。
2、Birth Control Pills：服用避孕药会增加得乳腺癌的风险？
美国Seattle Fred Hucthinson癌症研究中心工作人员、《健美乳房》杂志主编Anne McTiernan博士指出，对于20岁之后参加工作的女性而言，体育运动的效果更加明显。她建议女人们应该每天坚持半个小时的体育锻炼。
11、Killing Time: 健康地打发时间。
12、Lumps：乳房肿瘤 ≠ 乳腺癌
14、Nipples That Itch：乳头瘙痒也是乳腺癌的症状吗？
如果月经使乳房备感不适，原因可能是体内水分不平衡。有两个方法值得一试：补钙(600毫克/每天两次)；服用黄荆(Vitex)或者贞节莓(Chasteberry)。纽约内分泌科专家 Geoffrey Redmond 硕士说：“就所有治疗周期性乳房不适的方法而言，使用黄荆(Vitex)是最令人信服的方法。”
17、Queen- like walking：像女王一样走路？
1．What Does Breast Pain Feel Like?
Breast pain may range from mild to severe in intensity, and from an overall ache to a sharp or tingling pain. The breasts may feel full or heavy, and it may be uncomfortable to sleep on your stomach or wear a bra. Tenderness, swelling and lumpiness may come and go with the menstrual cycle. These symptoms are usually felt strongest just before menstruation and improve during or immediately after the cycle
2．Why Do Women Have Breast Pain?
As many as 50% to 70% of women experience breast pain. The most common complaints are premenstrual breast discomfort and lumpy breasts. These are often related to fibrocystic tissue in the breast. This does not increase your risk for developing breast cancer and no treatment is required.
Breasts are affected by changing hormone levels during the menstrual cycle and sometimes during emotional stress. Changes in estrogen and progesterone levels can cause the breasts to feel more lumpy, painful and/or swollen. Lumpiness and/or pain increases in many women as they get older. This may be because women become more sensitive to normal female hormones as they age.
Breast pain may also be caused by cysts, or small pockets of fluid in the breast. Cysts can usually be seen on a mammogram or ultrasound. Most women with lumpy or painful breasts do not have cysts. Their mammograms and ultrasound examinations are usually normal.
3．What Can Be Done About Breast Pain?
Some women find that making certain lifestyle changes can relieve breast pain. Here are some tips:
●Wear a supportive bra, such as a sports bra, 24 hours a day, or when the breasts are most sensitive. This may relieve pain caused by movement of your breasts. Change to a larger bra size if you have breast swelling.
●Heat, such as from a heating pad, warm compress or a bath can provide relief. For some women, using an icepack or cold compress may help.
●Maintain a healthy weight.
●Eat more fruits and vegetables and follow a low-fat diet.
●Reduce the amount of salt you eat, and drink 8 to 10 glasses of caffeine-free fluids a day. This may reduce swelling in your breasts.
●One of the best ways to relieve breast pain is to reduce or eliminate caffeine from your diet (see chart). Eliminate caffeine from the diet for at least 3 to 4 months to see if pain improves.
●Take daily calcium (1,000mg to 1,500mg) and vitamin E (800 I.U.) supplements.
●Take aspirin or Tylenol™.
●Try stress-relieving measures such as regular physical exercise, relaxation techniques and massage.
There is no proven remedy for cyclical breast discomfort. However, the good news is that it is not a sign of breast cancer and usually disappears when menopause begins.
Breast pain that occurs in one particular area and does not change throughout the month can be a danger sign and should not be ignored. Check with your doctor to see if a complete breast examination and mammogram are necessary.
4．Average Caffeine content of common foods, beverages and medications
Brewed ground 135
1-min brew 21-33
3-min brew 35-46
5-min brew 39-50
Soft drinks mg/12oz
Barqs Root Beer 22
Coke Classic 34.5
Diet Coke 46.6
Dr. Pepper reg/diet 42
Mountain Dew 55
Mr. Pibb 41
Mug Root Beer 0
Pepsi Cola 37.5
Pepsi (sugar free) 36
7-Up reg/diet 0
Sunkist Orange 42
Aspirin (generic) 0
Chocolate, cocoa, carob mg/oz
Baking chocolate 35
Bittersweet chocolate 25
Chocolate milk 6
Cocoa mix drink 1
Sweet/Dark Chocolate 20
Adapted from Levy M, Management of Painful Breasts, Breast Diseases, 1988; 1:65-69
Love S, Lumpy Breasts, The Medical Forum, Nov 1984, PP 3-5
McGinn A, Keeping Abreast, Bull Publishing, 1987
●What Causes Breast Pain?
●Evaluating Breast Pain
●Treating Breast Pain
●Breast Pain While Nursing
●Additional Resources and References
Breast pain (mastalgia) is the most common breast related complaint among women; nearly 70% of women experience breast pain at some point in their lives. Breast pain may occur in one or both breasts or in the underarm (axilla) region of the body. The severity of breast pain varies from woman to woman; approximately 15% of women require treatment. Though breast pain is not normally associated with breast cancer, women who experience any breast abnormalities, including breast pain, should consult their physicians.
What Causes Breast Pain?
There are two main types of breast pain:
Cyclical breast pain is related to how the breast tissue responds to monthly changes in a woman’s estrogen and progesterone hormone levels. If breast pain is accompanied by lumpiness, cysts (accumulated packets of fluid), or areas of thickness, the condition is usually called fibrocystic change. During each menstrual cycle, breast tissue sometimes swells because hormonal stimulation causes the breast’s milk glands and ducts to enlarge, and in turn, the breasts retain water. The breasts may feel swollen, painful, tender, or lumpy a few days before menstruation. Breast pain and swelling usually ends when menstruation is over. The average age of women who have cyclical breast pain is 34 years old. Cyclical breast pain may last for several years but usually stops after menopause unless a woman uses hormone replacement therapy (HRT).
Cyclical breast pain accounts for nearly 75% of all breast complaints. Of all women who experience breast pain, two thirds experience cyclical breast pain. Physicians often have patients chart their pain to determine whether the pain is cyclical. Though cyclical breast pain is usually related to the menstrual cycle, stress may also affect hormone levels and influence breast pain. Physical activity, especially heavy lifting or prolonged use of the arms, has also been shown to increase breast pain (pectoral (chest) muscles may become sore from physical activity).
Non-cyclical breast pain is far less common than cyclical breast pain and is not related to a woman’s menstrual cycle. Women who experience non-cyclical breast pain often experience pain in one specific area of the breast(s). Woman who experience injury or trauma to the breast or those who undergobreast biopsy sometimes experience non-cyclical pain. The condition may occur in both pre-menopausal and post-menopausal women and usually subsides after one to two years. Non-cyclical pain is most common in women between 40 and 50 years of age. Usually, non-cyclical breast pain does not indicate breast cancer, though women should discuss the condition with their physicians.
Another type of non-cyclical pain called costochondritis does not actually occur in the breast; however, the condition may feel as though it is coming from the breast. This type of arthritic pain occurs in the middle of the chest where the ribs and the breast bone connect. Costochondritis may occur as the result of poor posture or aging. Women who experience costochondritis usually describe it as a burning sensation in the breast.
Other factors that may contribute to breast pain in some women include:
●Oral contraceptive pills
●Hormone replacement therapy
●Bras that do not fit properly
●Tumors (most painful tumors do not usually indicate breast cancer; however, all abnormalities should be examined by a physician. For example, some patients with inflammatory breast cancer describe "stabbing pains" in the breast.)
Evaluating Breast Pain
Women should report all complaints of persistent breast pain to their physicians. Physicians will evaluate the pain, taking into account the woman’s personal history, family history, the area of pain, the intensity and duration of the pain, and the extent to which the pain interferes with her lifestyle.
Physicians will also perform clinical breast examinations, and if necessary, order additional breast imaging exams (such as mammography or ultrasound) to help determine whether the pain is related to another breast condition or possibly cancer. If no breast abnormality is indicated, the physician and woman should decide together whether drug treatment is necessary.
Treating Breast Pain
Most women with moderate breast pain are not treated with medications or surgical procedures. The following suggestions have been shown to reduce breast pain in some women (although there is not sufficient scientific evidence to establish the effectiveness of any of these suggestions):
●Wear a good, supportive bra to reduce breast movement. Many women with breast pain find it comfortable to also wear a bra while they sleep.
●Limit sodium intake.
●Reduce caffeine intake (coffee, tea, soft drinks, chocolate).
●Maintain a low fat diet rich in fruits, vegetables, and grains.
●Maintain an ideal weight. Losing excess weight may reduce breast pain by stabilizing hormone levels.
●Occasionally use over-the-counter pain-relief drugs such aspirin, acetaminophen, or Motrin.
●Take vitamins. Some women have found that taking Vitamin B6 (pyridoxine), Vitamin B1 (thiamine), and Vitamin E relieves breast pain.
●Try evening primrose oil. Some women have found that regular consumption of the herb, evening primrose oil, in liquid or tablet form reduces breast pain.
●Cyst aspiration. Physicians sometimes drain benign (non-cancerous), fluid-filled cysts to relieve breast pain. It may not be possible to drain very small cysts.
●Relax. Some breast pain can be caused by stress and may subside by reducing anxiety and tension.
If breast pain is severe and interferes with a woman’s daily activities, further treatment may be necessary. Diuretics, substances that remove excess fluid from the body in the form of urine, are the most commonly prescribed treatment for persistent, non-cyclical breast pain. The release of fluid in the body helps decrease breast pain and swelling.
Drug treatments for severe breast pain include:
Bromocriptine and danazol both relieve cyclical breast pain by blocking certain hormones (such as estrogen and progesterone). However, these drugs may cause serious side effects in some women. Bromocriptine is poorly tolerated by many patients; side effects include nausea, dizziness, and fertility problems. Side effects of danazol may include weight gain, amenorrhea (absence of menstruation), and masculinization (such as extra facial hair) when given high doses. Other drugs, such as tamoxifen or goserelin, have been shown to have some effect on cyclical breast pain; however, these drugs are presently only approved for use in women with breast pain in the United Kingdom.
In cases where non-cyclical pain occurs only in a specific area of the breast (localized pain), physicians may choose to inject anesthetics or corticosteriods in this "target area" to relieve the pain. In very rare cases, the painful area may be surgically removed. However, surgery usually leads to increased breast pain, and some women may develop non-cyclical breast pain at the site of previous surgeries on the breast.
Breast Pain While Nursing
While 80% of women experience mild breast pain during the first few days of breast-feeding, pain usually subsides within a few weeks. Chronic breast pain during nursing should be reported to a certified lactation consultant for clinical evaluation.
Persistent breast pain while nursing may result from:
●Improper positioning. Leaning over the baby can lead to breast and back pain.
●Engorgement. Engorgement is a build-up of fluids that occurs as milk converts from colostrum (nutrient produced during the first few days after birth) to mature milk. Engorgement is a temporary condition (lasting approximately 12 to 24 hours) and is most common during the first few weeks after pregnancy. If the breasts are becoming swollen, physicians recommend breast-feeding to avoid engorgement.
●Strong milk ejection reflexes. The actual process of expelling milk from the breast is called milk-ejection reflex. Milk is ejected from the breast into the baby’s mouth. Normally, women feel a mild tingling sensation during milk ejection. However, some women have strong milk ejection reflexes and experience a painful tingling or stinging sensation during breast-feeding. This usually subsides after the first few weeks of nursing.
●Nipple blanching (also called vasospasm). The nipples turn white during and often in between breast-feeding. Many women report burning sensations in the nipples. Nipple blanching may be relieved with warm compresses and good breast support.
●Mastitis. This benign (non-cancerous) condition is common among women who breast-feed. Cracking of the skin around the nipple allows bacteria from the skin surface to enter the breast duct where it grows and attracts inflammatory cells. Inflammatory cells release substances to fight the infection but also cause breast tissue swelling and increased blood flow. Breasts infected with mastitis often swell, become red in color, and feel warm to the touch. Nasopharyngeal organisms from the infant's mouth, sinuses and other air passages are usually the source of breast infections in lactating women. Physicians recommend keeping the breast empty of milk helps to drain the culture medium (environment and food source) that is facilitating growth of organisms. Breast-feeding with mastitis is generally not harmful to the infant and may actually help speed up recovery. Mastitis is also treated with antibiotics.
Breast Pain: Mastitis or IBC?
Women frequently complain about breast pain (mastalgia). But what is causing it?
Most commonly, breast pain is related to the menstrual cycle and hormone level fluctuations or with use of hormone replacement therapy. If symptoms include pain with lumpiness, cysts or thickened areas, we generally refer to this as fibrocystic change.
Breast pain can (in many, but not all cases) be caused by
●birth control pills
●costochondritis (an arthritic pain occurring in the middle of the chest, but may feel like a burning sensation in the breast)
●hormone changes during your period
●hormone replacement therapy
●inflammatory breast cancer
●thrush (an overgrowth of yeast)
Your health care practitioner will ask questions to rule out the above causes. If the doctor diagnoses mastitis, antibiotics are usually prescribed. Mastitis is a breast infection occurring in the milk ducts.
Symptoms of Mastitis
●breast enlargement (one side only)
●enlarged lymph nodes in the armpit
Symptoms of inflammatory breast cancer are similar to those of mastitis; however, fever is not generally a sign of inflammatory breast cancer.
Tests may be ordered to help with the diagnosis and include mammogram, sonogram, and/or biopsy. Remember, you do not have to have a lump to have breast cancer and a mammogram may not detect inflammatory breast cancer.
If You Are Breastfeeding
Mastitis can occur when you are not breastfeeding; however it is more likely in a breastfeeding mother. In most cases, doctors agree that nursing should continue, because stopping may worsen symptoms of mastitis and delay healing. If antibiotics do not clear up your symptoms, you may not have mastitis, and you may require further testing. Although screening mammograms are not generally performed, a diagnostic mammogram read by an experienced radiologist and/or a biopsy can help in the diagnosis of breastfeeding women.
We need to emphasize that any breast changes such as pain, swelling, dimpling, redness, or thickening of the skin need to be brought to the attention of your heath care practitioner.
* Imaginis.com Fact Sheet on Breast Pain http://www.imaginis.com/breasthealth/breast_pain.asp
* Information from Medline on Breast Pain http://www.nlm.nih.gov/medlineplus/ency/article/003152.htm
* Information from Medline on Breast Infections http://www.nlm.nih.gov/medlineplus/ency/article/001490.htm
* For information on treating mastitis while breastfeeding http://www.lalecheleague.org/FAQ/mastitis.html
* Information on Breast Health, Breast Cancer, Biopsy http://www.lalecheleague.org/ba/May01.html
* Information on Thrush and Breastfeeding http://www.lalecheleague.org/FAQ/thrush.html
Breast Pain or Tenderness
Breast Pain Considerations
There are many possible causes for breast pain. For example, hormonal fluctuations related to menstruation or pregnancy are often responsible for breast tenderness. Some degree of swelling and tenderness just before your period is normal. The question is how tolerable (or intolerable) the discomfort is to you.
Although many women with pain in one or both breasts understandably fear breast cancer, breast pain is NOT a common symptom of cancer.
Boys and men have breast tissue. If a male has breast tissue that is visible, this is called gynecomastia. As a normal part of development, adolescent boys can have some breast swelling and tenderness. Like breast tenderness in women, this is due to hormonal changes.
Breast Pain Common Causes
Some degree of breast tenderness is normal, caused by hormonal fluctuations from:
●Pregnancy -- tends to be more common during the first trimester and pregnancy at a young age
●Puberty -- in both girls and boys
●Approach of menopause (once your menstrual periods have stopped completely, breast tenderness often goes away unless you are taking hormone replacement therapy)
Soon after childbirth, your breasts may become engorged with milk. This can be very painful and is usually accompanied by swelling. If you also have an area of redness, call your health care provider.
Other common causes of breast pain include:
●Fibrocystic breast changes
●Mastitis -- a blocked and infected milk duct that may have some redness, usually associated with breastfeeding
●Premenstrual syndrome (PMS)
●Alcoholism with liver damage
Fibrocystic breast tissue is a common condition. It involves breast lumps and bumps throughout the breast tissue that tend to be more tender just before your menstrual period.
Certain medications may also cause breast pain, including digitalis preparations, aldomet, aldactone and other potassium-sparing diuretics, anadrol, and chlorpromazine.
Shingles can lead to pain felt in the breast if the painful blistering rash appears on the skin over one of your breasts.
Breast Pain Home Care
For tips on how to manage pain from fibrocystic breasts, see breast lumps.
Talk to your doctor about possibly taking birth control pills. These can help relieve pain.
If you have a breast infection, you will need antibiotics. Look for signs of infection like localized redness, nipple discharge, or fever. Contact your doctor if you have these signs.
Just after an injury to the breast occurs, apply a cold compress such as an ice pack (wrapped in a cloth -- don't apply directly to the skin) for 15 to 20 minutes. Take a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen to reduce the likelihood of developing persistent breast pain or swelling.
Call your health care provider if
Call your doctor if you have:
●Discharge from your nipples, especially blood or pus
●Given birth within the last week and your breasts are swollen or hard
●Signs of a breast infection, including localized redness, pus, or fever
●Noticed a new lump associated with the pain that does not go away after your menstrual period
●Persistent, unexplained breast pain
What to expect at your health care provider's office
Your health care provider will perform a breast examination and ask questions about your breast pain, such as:
●How long have you had the symptoms?
●Are one or both of your breasts affected?
●Do you have any nipple discharge?
●Do you perform breast self-examination?
●Have you noticed any lumps or anything unusual when you examine your breasts?
●When was your last mammogram?
●What other symptoms are present? Do you have fever?
●What medication are you currently taking?
Diagnostic tests that may be performed include the following:
●Culture of nipple discharge to test for infection
●Cytology (microscopic evaluation) of nipple discharge
●Fine needle aspiration -- a small needle is inserted into the breast to remove fluid that may have collected in a cyst (usually not cancerous)
Treatment may include the following:
●Pain relievers may be prescribed.
●Changes to your diet may be suggested.
●Certain medications may be changed or discontinued.
Your health care provider should schedule a follow-up visit in case the symptoms have not resolved in a given period of time. He or she may recommend consultation with a specialist if the symptoms do not go away or if you have a complicated condition.
Breast Pain Prevention
Wear a well-fitting brassiere for support, especially if your breasts are large.
Perform a monthly breast self-exam 3-5 days after your period (when the breast tissue is the least tender). This is important to feel for any changes in your breast tissue. If you detect any change from the previous month, it is important to notify your doctor.
Breast Pain: Cyclical and Noncyclical
Understand And Recognize Two Main Types of Breast Pain
By Pam Stephan, About.com Guide
Created February 28, 2011
Breast pain can be anything from a vague feeling of tenderness, to a dull ache, to a constant, throbbing pain. Episodes of breast pain may come on a regular schedule, may happen only once, or may endure for long periods of time. Most cases of breast cancer are not associated with breast pain. You may have heard breast pain referred to as mastodynia, mastalgia, mammalgia, or mastitis. Here are the two main types of breast pain.
Cyclical Breast Pain
Cyclical breast pain happens during a woman's menstrual cycle. A range of sensations in both breasts can accompany the hormonal ebb and flow that a premenopausal woman normally experiences. Those of us who have had premenstrual syndrome -- PMS -- know the feeling of achy, swelling breasts that starts before your period and goes on until your menses have stopped. Cyclical breast pain can be due to fibrocystic breast changes, but may also be due to mammary duct ectasia -- two benign breast conditions.
Noncyclical Breast Pain
Noncyclical breast pain is also known as trigger zone pain. With noncyclical breast pain, you will feel pain in one specific area, and it will be unrelated to your menstrual cycle. This noncyclical breast pain may occur in only one breast, but may affect both breasts. This kind of pain also varies in intensity and may be caused not by hormones, but by illness or injury; internal changes brought on by pregnancy, weight gain, or breast surgery; or certain medications. Hormonal medications, such as HRT or birth control pills, will cause changes in your breast sensitivity. Wearing an ill-fitting bra can cause breast pain, but it won't cause breast cancer. In only 5 out of 100 cases of cancer, pain is linked to a breast tumor.
Pain Near Your Breast
Your breasts rest on your chest wall muscles and ribs. Breasts are threaded through with nerves, blood vessels and connective tissues. If you feel noncyclical pain in the middle of your chest, it may be due to arthritis -- try some ibuprofen for the pain. Sometimes you may pull a muscle in your chest and pain will appear beneath one breast. Again, this isn't breast pain, and should fade as the muscle recovers. Nerves can get pinched, veins can become inflamed, but anti-inflammatory medications can help resolve this pain.
How To Handle Breast Pain
If you are premenopausal, you can understand the nature of your breast pain by keeping a chart of your cycle and tracking your pain. Review the chart to see if you have cyclical or noncyclical breast pain. See your doctor if your pain persists in order to have a clinical breast exam and get proper medications or treatments if those are needed. And if your body and breasts have changed, perhaps it is time for a bra fitting session and some pretty, supportive, new bras.
Breast Pain: Should You Worry?
Thursday March 31, 2011
Art © Sebastian Kaulitzki
Breast pain in the era of Pink Ribbon Awareness campaigns is really disturbing. Most of us instantly worry, "Is my breast pain a symptom of breast cancer?" Even men with breast pain may get worried about their own breast health. Pain in both breasts or a sharp pain in just one breast may send us scurrying to the bathroom to do a quick breast self exam. Suddenly every little bump, bruise, and hair follicle on your breast skin seems ominous and important.
Even when we've heard the statistics about 80% of all breast lumps being benign, when a lump or bump or odd rash is bothering our own breasts, its very hard to remain calm. So take a deep breath and slow down, because I have good news for you. Most breast pain is not related to breast cancer. There are many benign breast conditions - many of which can cause breast tenderness, aching, swelling, lumps, shooting pain, and even nipple discharge. Once you figure out if your breast pain may be hormonal or non cyclical, you can use some home care to alleviate the pain - or you can call your doctor for help.
But the flip side of the good news is the bad news: since breast cancer rarely causes pain, it can sneak up on you, if you aren't aware of your breast health, or you aren't being regular about your self-exams and annual screenings. That is why you need to know about your family health history, your personal risk factors, and what healthy choices you can make to reduce your risk. So its okay to have breast pain, if you take care to treat your breasts right. Get your doctor's help when home care doesn't reduce your breast pain, and remember that those twinges and tenderness most likely are not breast cancer.
Breast Pain And Breast Cancer Risk
By Pam Stephan, About.com Guide
Created March 31, 2011
When you frequently experience breast pain, you might wonder if it raises your risk for breast cancer. Breast pain, or mastalgia, is very common and is often related to benign causes. Having hormonal breast pain or discomfort related to fibrocystic tissue or breast infections does not raise your breast cancer risk.
Hormones And Breast Pain:
Between puberty and menopause, most women have some cyclical breast pain and tenderness as hormone levels change. At menopause, when your menstrual periods end, most breast pain also ceases. Your ovaries will produce lower levels of estrogen during menopause, which results in less swelling and tenderness in your breasts and tummy. Menopausal breast pain is noncyclical and usually hurts in only one breast. Noncyclical breast pain is not hormonal and can be caused by illness, injury, weight gain or certain medications.
Breast Pain Doesn't Always Mean Breast Cancer:
At the Breast Care Center of University Hospital, Syracuse, New York, researchers did a study with 5463 women who visited their clinic. There were 861 of these women who were diagnosed with breast cancer, and of that group, only 14% of those women reported any breast pain. The majority of women who complained of breast pain did not have breast cancer. Having breast pain is uncomfortable and upsetting, but it is rarely a sign of breast cancer, and seldom increases cancer risk.
Painful Benign Breast Conditions And Cancer Risk:
Certain benign breast conditions can cause breast pain, but these have a very small impact on your risk for developing breast cancer. These breast conditions are made of non-proliferative cells, which grow and divide at a normal rate.
Benign Breast Conditions With Low Risk:
Causes pain and affects breast cancer risk over normal: Very Slight Increase
Non-proliferative cells - normal rate of cell growth and division
* Abscess beneath areola or within breast tissue
* Ductal ectasia - blocked milk duct, sometimes with nipple discharge
* Fat necrosis - fatty tissue that has died and become thick or hard
* Fibrocystic changes - cyclical symmetrical swelling and tenderness
* Mastitis - breast infection
* Sebaceous cyst with infection - bump below skin containing keratin
* Simple fibroadenoma - lump made of fibrous and lobular tissue
Benign Breast Conditions With Moderate Risk:
Causes pain and raises risk over normal: 150 - 200% Increase
Proliferative cells without atypia - faster than normal rate of cell growth with no abnormal cells
* Complex fibroadenoma - lump made of mixed fibrous and lobular tissue, cysts, lobes, etc.
* Multiple fibroadenomas - two or more simple fibroadenomas
* Radial scar - a star-shaped dense mass within breast (rare)
Fibroadenomas and scar tissue can be removed with surgery or non-invasive ablation by laser, freezing, radio waves, or vacuum. A breast fibroadenoma must be diagnosed with a breast biopsy, so the cells can be tested to rule out other conditions.
Benign Breast Conditions With Heightened Risk:
Causes pain and raises risk greatly: 4 to 5 Times Normal
Proliferative with atypia - faster than normal rate of cell growth and having abnormal cells
* Atypical ductal hyperplasia (ADH)
* Atypical lobular hyperplasia (ALH)
Hyperplasia is a benign condition in which cells grow faster than normal. Atypical hyperplasia is considered a precancerous condition. Atypical cells are abnormal and have the potential to develop into noninvasive breast cancer, such as ductal carcinoma in situ. Discuss the benefits of surgically removing any atypical hyperplasia with your doctor.
Benign Sources of Breast Pain:
Other sources of breast pain that do not increase cancer risk:
* Breast injury
* Healing from breast surgery
Breast Cancer Pain: Symptoms and Statistics
By Pam Stephan, About.com Guide
Created March 22, 2011
Feeling Breast Pain:
Breast pain is usually not a sign of breast cancer. In fact, many of us who are diagnosed with breast cancer after a suspicious mammogram are shocked - we had no breast pain, so how could something be wrong? The truth is that breast cancer is a rather sneaky disease that hides within breast tissue, using your body's resources to grow and thrive. Breast cancer doesn't usually begin by causing breast pain, but if gets beyond a certain point, it can become painful.
Most Breast Pain Is Benign:
Breast pain, or mastalgia, happens only rarely with breast cancer. Most of the time, breast pain happens along with your menstrual cycle, but it can also be linked to benign non-hormonal causes. Breast cysts, fibroadenomas or blocked milk ducts can cause pain - but even though that pain can seem awful, it isn't life threatening.
Breast Cancer Pain Statistics:
A breast tumor - a hard clump of breast cancer cells - usually doesn't cause breast pain unless it reaches the size of 2 centimeters (almost 0.8 inches) in diameter. But a tumor can be larger than 2 cm 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.
How Breast Cancer Pain May Feel:
If breast cancer is the cause of breast pain, it may occur only in one breast. Breast cancer pain can be persistent and very specific, always hurting in just one spot. But, breast cancer can be present in your breast before it causes pain. If you have other symptoms of breast cancer, such as nipple retraction, sudden swelling of your breast, or sudden skin changes, consult your doctor for a clinical breast exam.
Metastatic Breast Cancer Pain:
When cancer does cause breast pain, breast tumors over 2 cm in size could be the cause, but it could also come from symptoms of inflammatory or metastatic breast cancer. If cancer spreads to your bones, brain or spinal cord, it may cause bone pain, headaches, or back pain with leg weakness. In case breast cancer travels to the adrenal glands, you may feel a dull back pain. If it spreads to the liver, you could have pain in the upper right part of the abdomen.
When to See Your Doctor:
If you have been diagnosed with metastatic breast cancer, be sure to report pain symptoms to your doctor and get them checked out. Cancer pain can often be alleviated with treatments; so don't be shy about complaining. Sometimes a headache is just a headache, and other pains are due to arthritis and similar causes. Pain is a signal of some type of change, so investigate it and get a proper diagnosis.