Breast Lumps: When to Worry and What to Do
Finding a lump is frightening, but most are benign. Our specialist clinic provides rapid clinical examination and same-day imaging for definitive peace of mind.
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Understanding Breast Lumps
Finding a lump in your breast is frightening. Most women immediately think the worst. But the reality is that most breast lumps are not cancer.
Hormonal fluctuations during your menstrual cycle are a common cause of breast changes, but lumps can also arise from cysts, fatty tissue, or fibrous areas. The problem is that you cannot tell the difference by touch alone. That is why any new or unusual lump needs to be examined by a doctor.
If your GP cannot determine the cause through examination, you will need a referral for imaging (mammogram, ultrasound or MRI) and possibly a biopsy. At Medical Express Clinic, we aim for imaging to be conducted immediately, with most patients being scanned the same day of their referral.
What Breast Lumps Feel Like
The symptoms of a breast lump vary depending on what is causing it. Some lumps present no obvious symptoms, others announce themselves.
A palpable mass
The most common symptom is feeling a distinct lump or area of thickening in the breast or underarm. It may feel different from the surrounding tissue; harder, softer or more defined.
Changes in breast shape or size
You may notice asymmetry between your breasts, dimpling of the skin, or a change in contour.
Tenderness or pain
Some lumps are tender or painful, particularly those linked to hormonal changes or cysts. Others are completely painless.
Nipple changes
Nipple discharge (other than breast milk), scaling of the skin around the nipple, or a nipple that pulls inward can all signal a problem.
Skin changes
Thickening, redness, or a rash on the breast or nipple area is associated with certain types of breast cancer, particularly inflammatory breast cancer.
These symptoms do not mean you have cancer. But they do mean you need to be examined. Regular self-checks and mammograms (for women over 40 or those at higher risk) help catch changes early.
Types of Breast Lumps
Not all lumps are the same. Here are some of the common causes:
Cysts
Fluid-filled sacs that are usually benign. They are common in women approaching menopause and often feel smooth and moveable.
Fibroadenomas
Solid, benign lumps made of glandular and fibrous tissue. They are most common in women under 30 and typically feel firm and rubbery.
Fibrocystic changes
A general term for lumpy, tender breasts caused by hormonal fluctuations. Very common and not dangerous, though it can make it harder to detect other lumps.
Lipomas
Benign fatty lumps that are soft and moveable. Harmless but sometimes removed if they grow large.
Intraductal papillomas
Small, benign growths in the milk ducts. They can cause nipple discharge.
Phyllodes tumours
Rare tumours that can be benign or malignant. They tend to grow quickly and require surgical removal.
Treatment Depends on the Cause
Benign Conditions
For Cysts Fine-needle aspiration drains the fluid and relieves discomfort. If the cyst is not causing symptoms, it may just be monitored.
For Fibroadenomas Small, symptomless fibroadenomas are usually left alone but monitored with regular imaging. Larger or uncomfortable fibroadenomas can be surgically removed.
For Intraductal Papillomas Surgical excision of the papilloma or affected duct is often recommended, especially if there is concern about atypical or precancerous cells.
Malignant Conditions
Treatment for breast cancer depends on the type and stage:
- • Surgery: Lumpectomy or mastectomy.
- • Radiation therapy: Destroys any remaining cancer cells post-surgery.
- • Chemotherapy: Kills cancer cells and prevents spread.
- • Hormone therapy: Blocks hormones to reduce recurrence risk.
When to See a Doctor
Any new lump, change in breast texture, nipple discharge, or skin change warrants an examination. Do not wait.
If you notice a breast lump or have concerns about your breast health, call Medical Express Clinic on 020 7499 1991 to book an appointment.
We offer same-day appointments and have female doctors available if you prefer. Our GPs have extensive private experience and provide referrals for imaging and biopsy immediately when needed.
Treatment Menu & Fees
Transparent pricing for all our services.
GP Consultation
£150Breast Ultrasound
£295Mammogram
£295Common Questions
Q.Are most breast lumps cancer?
No, most breast lumps are benign (non-cancerous). However, every new lump must be professionally assessed to rule out serious conditions.
Q.Can I see a female doctor?
Yes, we have female GPs and specialists available. Please let us know your preference when booking.
Q.How quickly can I get a scan?
We provide immediate referrals. Most patients can be scanned at our partner imaging centres on the same day as their consultation.
