A lump in the breast is quite common in nursing mothers but it should not be ignored in any case. After a few days of giving birth to your little baby, your breasts may feel hard as they are engorged with breastmilk. You may also feel lumps in your breasts, but these are mostly plugged milk ducts, which will go in a few days. However, if a lump does not go away in a week or two, you will need to see a doctor. There are many possible reasons for getting a lump in the breast and of course, it will worry you, but if it is diagnosed at the right time, your life will be saved.
As mentioned above, a lump in the breast is quite normal when you are nursing. It may be caused due to different reasons which can be treated or require no treatment at all. However, if you have a lump in your breast and it does not pain then it could be a sign of cancer. Therefore, if your symptoms are that of mastitis and they persist for more than 3 days, consulting a doctor to root it out is ideal.
Listed below are some of the types of breast lumps.
If the milk gets blocked in one area of the breast, then you may have plugged milk ducts. It may be caused due to milk stasis (milk stays in the ducts) or because of improper latching due to incorrect feeding position. Wearing a tight bra or tight clothes can also cause plugged ducts.
At some point, most mothers may feel painful lumps in the breasts. This may be because of breast engorgement. It may lead to hard and swollen breasts and the engorged breasts may develop lumps. These lumps ease out once the milk is drained out manually or by a pump. This occurs when the baby is unable to suckle properly and as a result, the milk does not come.
Mastitis is basically a lump or swelling in the breast accompanied by pain, redness, and tenderness. It is caused when a plugged duct goes untreated and the milk builds up behind the ducts and causes inflammation due to infection. It is usually accompanied by a fever.
An abscess is formed due to pus in the breast. It usually occurs due to untreated or badly treated mastitis. It is necessary to drain out an abscess either by a needle or catheter aspiration along with antibiotics or it can lead to extreme pain and fever.
It is a cyst located near the mammary gland which retains milk or milk substance due to obstruction in the milk ducts. Usually, it does not cause any infection and goes away on its own once the mother stops nursing.
It is a benign breast tumour and is more common in females between the ages of 15 and 30. It is a tumour of the gland and fibrous tissues. Unlike some breast lumps which come and go according to the monthly cycle, fibroadenoma does not disappear after the cycle. It rarely occurs in women in their postmenopausal stage.
Lipomas are fatty lumps that grow slowly in breasts or any other region. They do not grow more than 2 cms in diameter. They are round or oval in shape, rubbery to feel, and may move easily with a slight pressure. Such lumps can be more than one in number at one place.
Intraductal papillomas are non-cancerous growth in the milk ducts of the breast. A solitary intraductal papilloma is a single tumour that grows in the large milk duct near the nipple. Some women have more than one and some may even experience bloody discharge from the growths.
These lumps are a result of an injury to the fatty tissues in the breasts and require treatment if the condition persists for a long time. However, it is not dangerous and can be cured with the right treatment.
It is usually a hard or a firm lump usually causing no pain. It can originate either in the nipple or in the breast. However, it usually originates in the upper outer quadrant. Some large malignant tumours may compress the other parts of the breast or grow through the skin and can be very painful.
It is important for women to self-examine their breasts for any lump, and if they find any, follow these tips to treat it as much as possible:
Listed below are the tests which are performed to diagnose lumps in the breast in breastfeeding mothers:
Doctors suggest an X-Ray to see through the breast tissue and other tissues like bones, lungs, etc., for any abnormality.
A computed tomography scan (CT scan) is done to see if it is cancerous growth and to check whether cancer has moved to the chest walls or to other parts of the body.
It is the most effective test to detect breast cancer. This test can detect cancer even before the symptoms appear. A mammogram is done to check whether the breast lump is benign or cancerous.
The test tells you whether the treatment is working on you or not by showing the progress of a tumour.
If earlier tests indicate breast cancer, then the doctor may ask for fine needle aspiration biopsy in which some fluid is taken out from the affected area to look for cancer cells.
It is an alternative method of surgical biopsy and a less intrusive way to get the tissues required to detect cancer.
A surgical biopsy is done when the result of a needle biopsy is not clear. Under local anaesthesia, a part of the lump or the entire lump is removed through a small opening.
Not all breast lumps need treatment. Benign lumps like fibroadenoma do not need any remedy and cause no harm. Lumps caused due to injuries also subside when given time to heal.
Treatment options for lumps in the breast include:
Fine needle draining is a simple procedure and does not take much time. If there is an abscess or a cyst it will be drained with a fine needle.
Lumps caused due to breast infections can be treated using antibiotics.
This is a treatment procedure to remove lumps surgically when they are cancerous.
Mastectomy is performed in order to remove the cancerous breast tissue as a way to prevent breast cancer.
If the lump has been diagnosed as cancerous, then the doctor may suggest chemotherapy for the same. Depending on the stage of cancer, your doctor will suggest if you should go for chemotherapy or not.
If the lump is cancerous, it can also be treated with radiation therapy where the patient has to undergo doses of radiation in accordance with the stage of cancer.
Here are some ways to prevent lumps in the breast:
Lumps in the breast while breastfeeding can be due to a number of reasons and not just breast cancer. Therefore, it is imperative to educate people that there is nothing to fear as soon as a person comes across a lump in her breast.
Also Read: Breast Pain during Breastfeeding
This post was last modified on November 16, 2018 12:16 pm
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