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What Causes Pain In Breast?

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Posted on Fri, 27 Feb 2015
Question: 18 year old with breast pain in right breast? Lumpy but she is very small with no fat in breast
doctor
Answered by Dr. T Chandrakant (30 minutes later)
Brief Answer:
May be Fibroadenosis (Fibrocystic disease)

Detailed Answer:
Hi.
Thanks for your query for a girl of 18. Understood that she has breast pain in he right breast. Lumpy but she is very small with no fat in breast.

The probable cause of painful lump in the breast irrespective of the fat and size at the age of 18 is most probably a condition called Fibroadenosis.

In the absence of detailed history I would like to know some details to help her more::
-Since when has she got the lump / pain ?
-Has the pain any relation to the menstrual cycle like increase just before the periods or so ?
-Any investigations done ? If yes, please provide the reports.
-Any specific reason that she is very small with no fat in the breasts- I mean is she having any other general medical condition like thyrotoxicosis or so.

I would advise the following in such a patient:
-Physical examination by a Surgeon.
-Ultrasonography
-Most important is FNAC.

This will help in getting the final diagnosis.
Further treatment will obviously be as per the final diagnosis, counselling with the patient and her relatives whether to go for medical management or surgery. IF surgery is opted for the possibility of further disfiguration of the breast, its acceptance and so on.

I hope this answer helps you and the girl to get a definitive diagnosis and a plan for further treatment.
Please feel free to ask for further relevant questions or if you feel that there is a gap-of-communication.

Please give the feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (4 minutes later)
It just started this month simce her last period. She doesnt know if the lump is new or just the way her breast is made. She is just not well endowed. No reason for small breasts. She wants to wait until next period to see if paingoes away after that
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
OK, it is fine to wait

Detailed Answer:
Thanks for your feedback.
With the history of such a short duration, she can certainly wait as you have noted.
But remember the rules as I have mentioned above.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Pain In Breast?

Brief Answer: May be Fibroadenosis (Fibrocystic disease) Detailed Answer: Hi. Thanks for your query for a girl of 18. Understood that she has breast pain in he right breast. Lumpy but she is very small with no fat in breast. The probable cause of painful lump in the breast irrespective of the fat and size at the age of 18 is most probably a condition called Fibroadenosis. In the absence of detailed history I would like to know some details to help her more:: -Since when has she got the lump / pain ? -Has the pain any relation to the menstrual cycle like increase just before the periods or so ? -Any investigations done ? If yes, please provide the reports. -Any specific reason that she is very small with no fat in the breasts- I mean is she having any other general medical condition like thyrotoxicosis or so. I would advise the following in such a patient: -Physical examination by a Surgeon. -Ultrasonography -Most important is FNAC. This will help in getting the final diagnosis. Further treatment will obviously be as per the final diagnosis, counselling with the patient and her relatives whether to go for medical management or surgery. IF surgery is opted for the possibility of further disfiguration of the breast, its acceptance and so on. I hope this answer helps you and the girl to get a definitive diagnosis and a plan for further treatment. Please feel free to ask for further relevant questions or if you feel that there is a gap-of-communication. Please give the feedback.