Early breast cancer often causes subtle changes, and some people have no symptoms at all, which is why screening mammograms are so important. Breast lumps can be an early symptom, and you should call your doctor if you have a new lump. Many breast lumps are not cancer, but they should still be checked.
Younger women can get breast cancer, and their symptoms can be the same as older women. However, because women younger than age 40 are not typically getting screened for breast cancer, they may ignore breast symptoms, thinking changes they notice within the breasts are related to changes in hormones, stress, injuries or breast cysts. Trust your instincts. If something feels wrong or does not go away, call your doctor and get it checked.
Breast cancer symptoms may include the following:
- A new lump or mass
- May be hard or soft, painless, or tender
- Often has irregular edges but can be smooth
- Can occur in the breast or under the arm (armpit)
- Changes in breast size or shape
- One breast may newly appear larger, swollen, or shaped differently
- These changes may occur even without a lump
- Skin changes on the breast
- Dimpling or puckering (sometimes described as “orange peel” skin)
- Redness, rash, or thickened skin
- Skin that feels warmer than usual
- Nipple changes
- Nipple turning inward (new inversion)
- Discharge, especially if bloody or clear and not related to breastfeeding
- Crusting, scaling, or redness around the nipple
- Breast or nipple pain
- Breast cancer lumps are often painless, but persistent pain in one spot can be an early sign
- Pain that does not come and go with menstrual cycles should be evaluated
Less Common Early Signs
- Swelling of part or all of the breast
- Swollen lymph nodes near the collarbone
- A new feeling of heaviness or fullness in the breast
Symptoms of Breast Cancer in Men
Male breast cancer is rare, but the symptoms can be similar to breast cancer in women. Because there are no routine breast cancer screenings for men, it is important to take note of any changes within the breast and inform your doctor right away if you notice anything new or different.
If you notice any of these symptoms, even if they seem minor, talk to your doctor right away.
- A hard lump or thickening in the chest (often painless)
- Changes to the nipple (turning inward, scaling, redness, flattening)
- Nipple discharge, sometimes bloody — any nipple discharge in men is not normal
- Skin changes (dimpling, redness, rash on or near the nipple)
- Swollen lymph nodes under the arm
When to Ssee a Doctor
Make an appointment if you notice:
- Any new lump lasting more than two or three weeks
- Changes affecting only one breast
- Skin or nipple changes that do not improve
- Persistent pain in one area
Breast Self-Exams
A breast self-exam can be a valuable tool for some women. It can be part of a routine that includes age- and health-appropriate mammography.
There are a number of good reasons women may consider doing breast self-exams. The goal of the breast self-exam is to learn how your breasts normally look and feel so you are aware of any changes and can report them to your doctor immediately. Talk with your doctor to explore if doing breast self-exams is right for you.
Although clinical exams and mammography are proven and significant tools in early detection, there are some breast tissue changes — a small percentage — that are not visible on a mammogram but will be detected by a woman or her doctor or clinician through a physical exam. Many women with breast cancer that is found and treated early have good outcomes.
If you find a lump, don’t panic: About 80% of breast lumps are not cancer. They can also be cysts or changes due to hormonal shifts or an injury. It is still important to have your doctor or clinician evaluate changes.
If you decide to do breast self-exams, talk with your doctor or clinician to learn the technique.
Virtual Visits Are Available
Safe and convenient virtual visits by video let you get the care you need via a mobile device, tablet or computer wherever you are. We’ll gather your medical records for you and get our experts’ input so we can offer treatment options without an in-person visit. To schedule a virtual visit, call 1-866-680-0505.
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Froedtert Hospital is nationally ranked by U.S. News & World Report in three specialties. Froedtert Hospital is also rated as high performing in four adult specialties and 22 procedures and conditions, including cancer.
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