





Do not panic if you discover a breast lump, particularly if you are young (less than 40 years old) and you do not have a family history of breast or ovarian cancer. A breast lump is more likely to be benign (non-cancerous) than malignant (cancer). Only 10% of breast lumps seen by doctors in breast clinics are cancers. However, if you find a breast lump do not delay in consulting your doctor!
Common causes of lumps in the breast are shown in Table 4. See Chapter 2 for more details.
| Simple cysts (benign) | Fibrocystic disease (benign) | Fibroadenoma | Breast cancer (malignant) |
| Fluid-filled bag Drained with needle |
Small cysts + hard lumps Variation of normal breast Caused by female hormonal activity Common in 30–40 years |
Hard, smooth lump Very mobile Common in 20–30 years Common in Afro-Caribbean women |
Hard, irregular May be fixed to chest With or without puckered skin With or without nipple drawn in With or without discharge |