Do teenagers need to worry about breast cancer?

Breast cancer affects about one out of eight adult women, but it is generally not a disease of adolescents. However, breast concerns such as funny lumps, breast pain, and breast discharge bring a lot of teens to the doctor. As noted before, if you feel compelled to check your breasts, don’t do so more than once a month, so you do not create a problem (breast discharge, for example) where there would otherwise be none.

If you do notice a lump, here is what to think about: The majority of lumps are fibrocystic changes of the breast, a benign condition that causes lumpy areas that can be moved if you roll your fingers over them. They also pop up in different regions of the breast and do not stay just in one spot, varying with your shifting hormone levels. In contrast, fibroadenomas are benign growths that occur in breast tissue and stay in one place.

They will keep growing--slowly--as long as they are left there. Fibroadenomas do not turn cancerous, but once big enough, they can be a real bother, so we tend to have them removed before they reach the size of a large grape. If you suspect that you have a fibroadenoma, you should get seen by an adolescent medicine specialist or a pediatric gynecologist well versed in the breast diseases of teenagers.

Another way to tell the difference is to go on a birth control pill, which will help alleviate fibrocystic changes within three to six months but will do nothing for a fibroadenoma.

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