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Symptoms and Early Warning Signs of Breast Cancer

Author:

Senior Consultant & Director – Breast Oncology

What is Breast Awareness?

There is no such thing as a typical breast. What is normal for one woman may be abnormal for another. The breast keeps changing with the timing of the period, during pregnancy, lactation, losing or gaining weight, the medications you are on and during menopause.  Some breasts feel soft, whereas some women may say it’s lumpy and uneven. Hence it’s important to be aware of what your breasts look and feel like.

Symptoms of breast cancer/tumors vary from person to person. Some people do not have any signs or symptoms at all. Also, while self-examining, a few patients get confused between breast cancer symptoms for different age groups.  

Know more about our breast cancer awareness initiative

What Do Lumps in My Breast Mean?

Not every lump in the breast is cancer. Most often a lump in the breast may not be cancer, it could a cyst (small fluid-filled sacs), fibroadenoma (non-cancerous lump in the breast). However, every newly noticed lump in the breast should be evaluated to rule out the presence of cancer. 

What Are the Symptoms of Breast Cancer?

A painless lump in the breast or armpit is the most symptom of breast cancer. Other less common symptoms include skin changes, pain, a nipple that pulls inward, and unusual discharge from your nipple.

Early Warning Signs of Breast Cancer

Common symptoms of breast cancer include:

    • A lump in your breast or underarm that doesn’t go away and which is often painless. This is often the first symptom of breast cancer. Swelling in your armpit or near your collarbone may indicate that the breast cancer has spread to the lymph nodes.
    • A marble/pebble-like area under your skin that feels different from any other part of either breast. A fullness, thickening or swelling in any area.
    • Pain and tenderness, although lumps don’t usually hurt. Some may cause a prickly feeling.
    • Skin changes like a flat or indented area on your breast. This could happen because of a tumor that you can’t see or feel which is pulling the skin inwards.
    • Other skin changes like – redness, skin thickening, skin nodules, skin that looks like an orange peel may indicate the presence of tumor in the breast.
    • Breast changes such as a difference in the size, shape, texture, or temperature of your breast.
  • Changes in your nipple: 
    • Flat nipple/Pulled inward
    • Is dimpled
    • Burns
    • Itches
    • Develops sores
  • Unusual nipple discharge. It could be clear, bloody, or another colour.

If you experience any of these signs and symptoms of breast cancer, consult our breast cancer experts.

How do breast cancer symptoms differ between younger and older women?

Basically, the symptoms of breast cancer, like lumps, skin changes, or nipple discharges, are common across all age groups. However, there are minute differences:

  • Younger women often have denser breast tissue, which can make it harder to detect small lumps in self-exams or even on mammograms. Their tumors also tend to be more aggressive when they do occur.

  • Older women may notice changes more easily because breast tissue becomes less dense with age. However, they may dismiss symptoms as age-related changes and delay checkups.

  • In younger women, symptoms like breast pain or irregularities are more often assumed to be benign (e.g., hormonal changes), which sometimes leads to later diagnosis.

FAQs

What are the common symptoms of menopause that can be mistaken for breast cancer?

Menopause can cause breast tenderness, lumps due to hormonal changes, and nipple changes—all of which may resemble breast cancer signs. If these symptoms persist or feel unusual, it’s important to get them checked.

Can breast pain alone be a sign of breast cancer?

Most breast pain is caused by hormonal changes, cysts, or infections, not cancer. However, persistent, localized pain in one area should always be evaluated by a doctor.

Is a lump in the breast always cancerous?

No, many breast lumps are benign (like cysts or fibroadenomas). Still, every lump should be examined through medical tests to rule out cancer.