5 Early Signs of Breast Cancer Women Shouldn’t Ignore

October marks Breast Cancer Awareness Month, emphasizing the significance of early detection and breast health. Often, our bodies signal issues through subtle changes that we may overlook. The breasts can exhibit early warning signs ranging from benign changes to serious conditions like cancer. Recognizing these signals and seeking timely medical evaluation is vital, as early detection can greatly enhance outcomes and save lives.

Dr. Kunal Sood, an anesthesiologist and pain medicine specialist, highlights five common breast changes that could indicate health issues. Here are the symptoms he discusses:

1. Firm Lump, Nipple Retraction, and Skin Dimpling

Dr. Sood emphasizes that the appearance of a firm lump that was previously absent is a major indicator of breast cancer. Nipple retraction can occur when invasive cancer shortens ducts, while skin dimpling can suggest inflammatory breast cancer due to tumor blockage of lymphatics. These signs warrant thorough examinations, imaging, and possibly a biopsy.

2. Nipple Discharge

Non-breastfeeding related milky discharge, known as galactorrhea, may result from endocrine issues. Bloody or spontaneous single-duct discharge raises more concern, often linked to intraductal papilloma or duct ectasia, with a malignancy risk of 11-16%. Imaging and biopsy may be necessary.

3. Red, Painful, and Swollen Breasts

These symptoms are often due to mastitis or abscesses, particularly during breastfeeding. Ultrasounds help identify abscesses, and antibiotics combined with milk expression are standard treatments. If redness and swelling persist, further investigation for inflammatory breast cancer is advised.

4. Smooth, Rubbery, Mobile Lump

Such lumps may indicate a fibroadenoma, a benign tumor commonly found in younger women. Ultrasound typically reveals well-circumscribed oval masses, and while simple fibroadenomas rarely elevate cancer risk, imaging is recommended for new masses, along with biopsies for any suspicious findings.

5. Swollen Underarm Nodes

Tender, mobile lymph nodes in the underarms may follow infections or vaccinations. However, firm or progressively enlarging nodes can indicate breast cancer spread, melanoma, or lymphoma. Ultrasound is the first step for suspicious nodes, with biopsies confirming diagnosis when needed.

Being aware of these symptoms and maintaining regular check-ups can significantly aid in early detection of breast cancer, leading to better treatment outcomes.