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There are several ways that a breast lump or mass may be detected. At the time of routine breast examination by a physician or nurse practitioner, or at the time of monthly self-examination, an abnormal area may be felt or palpated. Many women feel an abnormality for the first time while showering or dressing. This may feel like a hard lump of any size, a thickening, a ridge, or any other significant change. Whenever an abnormality or change is detected further evaluation is required, beginning with examination by an experienced physician or nurse. For women under 30, an ultrasound is recommended to determine the nature of the problem. For women over 30, an ultrasound and a mammogram are recommended. Depending on the results of these tests, you may be referred to a surgeon for evaluation and possible biopsy which may be performed at this visit. Most breast lumps are not cancerous, but your physician will need to determine what work-up is necessary.

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