Brief Answer: Better to get evaluated Detailed Answer: Hi, Thanks for the query. Breast pain can occur due to many causes, like: -Cyclical hormonal changes -Mastitis, in elderly women periductal mastitis is more common. -Benign breast diseases -Malignancies Many of the breast conditions can involve the lymph nodes. By examination and investigations only the exact cause of the problem can be identified. Smoking and family history of breast carcinoma are risk factors in your case. So consult gynecologist or general surgeon once, get examined and go for sonomammography. With this workup the possible cause for your problem can be identified and treated. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer please give your review at the end of the discussion. Take care.

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Brief Answer: Possibly benign mass Detailed Answer: Hi, Painful breast masses can be seen in different conditions. According to your history, fast growing, painful, movable mass could be: -A infected fibroadenoma -Fibroadenosis -Retention cyst -Ductal papilloma etc. As the mass is movable, not associated with discharge or color change, grown fastly, the possibility of malignancy is somewhat less. But as you said by detailed examination and investigations only the exact cause of the problem can be identified. Better to go for FNAC (Fine needle aspiration cytology) with your doctor's advice. Benign conditions will have better prognosis usually. Meanwhile you can take analgesic and anti inflammatory drugs to relieve the symptoms. Take care.

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