Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
If a breast is injured by trauma, tiny blood vessels can rupture to cause an area of localized bleeding (hematoma) that can be felt as a lump. Trauma to the breast can damage the fat cells in the breast tissue, a condition called fat necrosis. The injury can also form a lump in the breast. These types of lumps that follow a significant trauma are not cancerous.
Fat necrosis can also occur at the site of a previous breast biopsy.
Non-cancerous growths that cause breast lumps
Fibroadenomas are benign (not cancerous) growths and are very common. These growths most commonly occur in women 30 to 35 years old,
but can also occur in women under 30 years of age. Fibroadenomas are solid, firm tumors that are usually painless or only slightly tender. They sometimes grow quickly in
teenagers or during
pregnancy.
Breast cysts are fluid-filled, tiny sacs within the breast tissue and are benign. They are very common, especially over the age of 35. These cysts often vary in size during the menstrual cycle and may be tender.
Fibrocystic changes are characterized by breasts that are lumpy with many irregularities in the breast that feel almost grainy.
Fibrocystic breasts seem to occur because a woman's breasts are extra sensitive to fluctuating hormone levels. Women with fibrocystic changes may have pain and/or lumps.
What are the symptoms of breast cancer?
The symptoms of breast cancer include painless breast
lumps, nipple discharge, and inflammation of the skin of the breast. Sometimes
breast cancer may not cause any symptoms.
Breast cancer usually causes no pain in the
breast. Although women often worry about
breast pain, most women with breast
pain do not have breast cancer. Only about 6% of women with breast cancer have
breast pain as their first sign of cancer.
Nipple discharge that occurs without the nipple being touched can be caused by benign (non-cancerous) growths. Examples of these growths are intraductal papillomas (non-cancerous growths that protrude into the milk ducts) and dilated areas of milk ducts (ductal ectasia). Nipple discharge can also be caused by cancer of the breast tissue. Because nipple discharge can be a sign of cancer, it needs to be evaluated by a doctor.
Skin changes on the breast, including redness and
warmth, can sometimes be a sign of breast cancer. A form of breast cancer that
commonly causes these signs of inflammation is Paget's disease of the breast.
However, most inflammation or rashes on the breast are not due to cancer. They may be
caused by benign problems such as
nipple eczema or a fungus infection. Still,
any breast rashes should be evaluated by a doctor. Areas that are especially
scaly and red, particularly if they are persistent, or if there is also nipple
discharge, are often sampled (biopsied) to rule out cancer.
Cysts are saclike structures that can occur throughout the body and usually contain a semisolid, liquid, or gaseous substance. Infections, tumors, genetic conditions, chronic inflammatory conditions, and wear and tear can cause cysts. Though some cysts may be palpable, others may not produce any symptoms. Treatment depends upon the location and cause of the cyst.
Breast cancer is the most common cancer in women and the second most common cause of cancer death in women in the U.S. Symptoms include a lump in the breast or underarm area, nipple pain, change in breast size or shape, an inverted nipple, nipple discharge, and breast skin changes. Treatment may involve chemotherapy, radiation therapy, biological therapy, hormone therapy, or surgery.
A hematoma is a collection of blood that is outside a blood vessel. There are different areas where hematomas occur including the inside the skull, scalp, ear, septum, bones, finger and toenails, and intra-abdominal. Treatment for hematomas depend on the type and location of the hematoma.
The breast generally refers to the chest, however, more specifically, to the mammary gland. The mammary gland is a milk producing gland comprised largely of fat. Within the mammary gland is a complex network of branching ducts. The ducts exit from sac-like structures called lobules, which can produce milk in females. The darkened area around the nipple is called the areola. Common medical concerns in regard to the breast include breast lumps, breast cysts, breast cancer, and breast infections.
Inflammatory breast cancer is an accelerated form of breast cancer that is not usually detected by mammogram or ultrasound. Symptoms of inflammatory breast cancer include pain in the breast, skin change in the breast area, bruise on the breast,sudden swelling of the breast, nipple retraction or discharge, and swelling of the lymph nodes.
Women's health is an important topic area to guide a woman through the stages of her life, as well as knowing the conditions and diseases that may occur. Educating yourself so that the transitions into different phases of life is key to a healthy, happy, and productive life.
Lifestyle changes, a healthy antioxidant-rich diet, exercise, and weight reduction can help reduce a woman's risk of developing breast cancer. It's important to be aware of how risk factors such as family history, lifestyle factors, breast conditions, radiation therapy, and hormonal factors may influence your chances of developing breast cancer. Mammography and breast self-examinations are crucial steps in breast cancer prevention.