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Is the lump in my breast hormonal?

by Dr Sarah Brewer

question
I am 19 years old and have recently discovered a lump in the top of my right breast. I have been to see my GP, who said he thought it was hormonal, but has said he wants to see me again. This concerns me. What's the likelihood of it being a cancer?

answer
One in three women will discover a lump in their breasts at some time during their life, but the chance of having breast cancer at the age of 19 years is very low. Nine out of ten breast lumps are benign fibrous lumps (fibroadenomas) or fluid-filled cysts, but all need to be investigated just in case. Your GP has asked to see you again at a different time in your menstrual cycle to see whether the lump has changed with your hormone levels. If he or she feels it is necessary, they will arrange for further investigations, but this does not necessarily mean they think you have cancer - they are just making absolutely certain you are clear as they realise they cannot rely on clinical judgement alone.
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