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Most breast lumps that can be felt are non-cancerous, although 10% of women who seek medical attention for this symptom end up being diagnosed with breast cancer.[1] Roughly 4% of breast cancer cases manifest as a tangible lump but show no signs of disease on mammogram or ultrasound. Breast pain and fibrocystic alterations are prevalent, affecting about half of all women above 30 years of age. Fibroadenomas, which are the most frequent benign breast tumors, affect one in four women and generally do not necessitate any treatment. The likelihood of most benign breast alterations transforming into cancer is exceedingly minimal.
A table listing the main differentials of benign breast lumps
| Benign Breast Mass | Characteristics and Presentation | Treatment, Management, and Associated Risks |
|---|---|---|
| Fibroadenoma | Most common breast mass, common in early reproductive years, hormonally related development, benign lesions but associated with a twice increased risk of developing breast cancer in some studies. | Usually involute without further treatment. Interventions considered for rapid growth, size > 3 cm, increase in BI-RADS category, tissue diagnosis suggestive for atypical hyperplasia or suspected phyllodes tumour. Ultrasound-guided vacuum-assisted breast biopsy is used for diagnostic confirmation before definitive management. Surgical consultation considered for large, painful masses, or causing patient... |
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