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Some studies suggest cancer lumps are often painless, while other studies indicate that pain can be a symptom in some cases.
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One of the critical factors contributing to delayed reporting of breast lumps in low- and middle-income countries is the lack of awareness that early cancer lumps are typically painless. Studies indicate that up to 98% of women in these regions are unaware that a painless lump could be an early warning sign of breast cancer. This misconception leads many women to ignore painless lumps, presuming them to be harmless, which delays seeking medical attention and potentially increases mortality rates.
A review of symptoms and signs in 1205 women with operable breast cancer revealed that pain as a presenting symptom was rare, occurring in only 5% of cases. However, when specifically questioned, 33% of women admitted that their lump was painful. This suggests that while pain is not a common initial symptom, it can be present in a significant minority of cases. Other common signs included skin tethering or fixation (42%), nipple retraction or displacement (22%), and well-defined edges of the lesions (42%).
Not all painful breast lumps are indicative of cancer. For instance, a case study of a 60-year-old woman with a painful breast lump revealed that the cause was isolated tuberculosis of the breast, not cancer. This highlights the importance of thorough medical evaluation to determine the underlying cause of a breast lump, whether painful or not.
In summary, while early cancer lumps are often painless, a significant number of women may experience pain associated with their lumps. Awareness that a painless lump can be a warning sign of early breast cancer is crucial, especially in low- and middle-income countries, to encourage timely medical consultation. Additionally, not all painful lumps are cancerous, underscoring the need for proper medical diagnosis to identify the exact cause.
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