General surgery and breast care clinic at KPMC Kajang

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A Breast Lump or Change: What to Do and What Assessment May Involve

Most breast changes are not cancer, but every new or persistent change deserves appropriate assessment.

Surgery · 6 min read

Published · Updated

Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.

Notice changes without trying to diagnose them

Breast lumps and changes have many possible causes, and many are benign. A new lump, focal thickening, nipple change, skin dimpling or persistent one-sided change should be assessed. Pain alone is not a reliable way to determine the cause.

Assessment is tailored

The clinician will ask about timing, menstrual or kehamilan context, medicines, previous breast problems and family history, then examine the breasts and lymph node areas. Depending on age and findings, imaging and sometimes a tissue sample may be recommended.

Do not repeatedly press the area or rely on supplements, massage or a consumer test. Bring previous breast imaging if available and ask how and when results will be communicated.

Screening and symptoms are different

Routine screening is intended for people without symptoms. A new breast change needs clinical assessment even after a recent normal screening result. Attend all recommended follow-up until the finding has been explained.

At a glance

Key takeaways

  • Many breast lumps are benign, but examination is still important.
  • Assessment may combine examination, imaging and tissue sampling.
  • A normal screening result does not replace assessment of a new symptom.

When to seek care

  • Arrange prompt assessment for a new lump, nipple inversion or bloody discharge, skin dimpling, persistent one-sided change or an armpit lump.
  • Seek urgent care for rapidly spreading breast redness with fever or severe illness, particularly during breastfeeding.

General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.

Source notes

Article sources

  1. NHS: Breast lump
  2. NICE NG12: Suspected cancer - recognition and referral

KPMC services related to this topic

Find information about the relevant KPMC service. A healthcare professional can advise whether the service is suitable for your needs.

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Related specialists at KPMC Kajang

These consultants work in the matching specialty. This article is general information and is not written as their personal advice.

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