New Year Resolutions for Breast Health: Tips from Breast Oncologists in Singapore

Do All Breast Lumps Need Surgery? A Breast Surgeon’s Guide to Benign vs. Concerning Lumps

Finding a lump in your breast can be worrying, but not all lumps require surgery. Many are harmless and do not pose a threat to your health. Understanding the difference between benign (non-cancerous) and concerning lumps can help ease anxiety and guide you on the next steps. Let’s take a closer look at the different types of lumps and when surgery might be needed.

Not All Breast Lumps Are Dangerous

Breast lumps are quite common, and in many cases, they are not a sign of anything serious. While some may need monitoring, others can be left alone if they are not causing discomfort or health concerns. The important thing is to recognise changes in your breasts and seek advice if something feels different.

Common Types of Benign Breast Lumps

Some lumps do not require surgery because they are harmless and do not increase the risk of breast cancer. These include:

Cysts

• Cysts are fluid-filled sacs that can form within the breast tissue.
• They often feel smooth and round, and may move under the skin.
• They can fluctuate in size, especially with hormonal changes, and sometimes cause tenderness.
• If a cyst is causing discomfort, draining the fluid with a fine needle (aspiration) may help, but surgery is rarely needed.

Fibroadenomas

• These are solid, non-cancerous lumps made up of glandular and connective tissue.
• They often feel smooth, firm, and movable, like a small rubbery ball.
• Fibroadenomas are common in younger women and may shrink over time.
• Surgery is only considered if they grow significantly or cause discomfort.

Lipomas

• These are soft, fatty lumps that grow slowly under the skin.
• They are harmless and usually do not require any treatment unless they become painful or continue to grow.

Breast Abscesses

• Caused by infections, abscesses are pockets of pus that can form in the breast.
• They may be red, swollen, and painful.
• Treatment usually involves antibiotics or drainage rather than surgery.

When Should a Lump Be Evaluated Further?

While many lumps are benign, some may require further assessment. A breast surgeon may recommend additional tests if:

• The lump is hard, irregular in shape, or fixed to surrounding tissue.
• There is persistent pain that does not go away with your menstrual cycle.
• The skin over the lump appears dimpled, red, or puckered.
• There are changes in the nipple, such as inversion or unusual discharge.
• The lump continues to grow over time.

If any of these signs are present, imaging tests such as a mammogram, ultrasound, or biopsy may be suggested to determine whether the lump requires further action.

When Is Surgery Necessary?

Surgery is generally only recommended when:

• The lump is suspected or confirmed to be cancerous.
• A benign lump is causing discomfort or continues to grow.
• There is uncertainty about the nature of the lump after imaging and biopsy.

If surgery is needed, it may involve removing only the lump (lumpectomy) or, in rare cases, additional tissue depending on the diagnosis. The approach is always based on what is most suitable for each individual.

Regular Check-ups Make a Difference

Even if a lump turns out to be harmless, keeping up with regular breast examinations and screenings is important. This helps track any changes over time and ensures early detection if any concerns arise.

If you notice a lump, do not panic —but do not ignore it either. Booking a consultation with a healthcare professional can provide reassurance and clarity on whether any next steps are needed.

Need Guidance on a Breast Lump? Book a Consultation Today

If you have found a lump in your breast and are unsure what to do next, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help. Whether it is for reassurance, further assessment, or discussing treatment options, we can guide you through the process in a way that is clear and supportive.

Book a consultation today and take the first step towards understanding your breast health. Looking after yourself is important, and we are here to support you every step of the way.

Everything About Breast Ultrasound Report: Results and Next Steps

Receiving your breast ultrasound report can feel a bit overwhelming, especially when you are not familiar with the language used. In this guide, we break down what you can expect from your report, explain some common terms, and offer advice on discussing your results with your healthcare provider.

What to Expect in Your Report

After your breast ultrasound, you will receive a report that summarises the findings from the scan. This document is written for your doctor, but understanding it can help you feel more informed about your health. Typically, your report will include:

• Images and Descriptions – A few pictures from the ultrasound scan, along with written descriptions of what was seen.
• Measurements – If any areas of interest are noted, their size may be listed.
• Observations – The report might mention if any lumps, cysts, or other changes were observed.

Even if the language seems technical at first, taking the time to understand the key points can give you a clearer picture of your breast health.

Common Terms Demystified

Here are a few terms you might come across in your ultrasound report:

• Lesion – A general term for any abnormality. It does not necessarily mean cancer.
• Cyst – A fluid-filled sac that is usually harmless.
• Solid mass – An area of tissue that is not filled with fluid; further tests may be needed to understand its nature.
• Fibroadenoma – A benign (non-cancerous) lump that is common in younger women.
• Echogenicity – This refers to how tissues appear on the ultrasound image. Different types of tissues will reflect sound waves in different ways, which can help in identifying the nature of a lump.

Understanding these terms can help you follow the conversation when you discuss your results with your doctor.

What Your Report Might Tell You

Your ultrasound report will provide information on what was seen during your scan. Here are some potential findings:

• No Abnormal Findings – If your report states that no abnormalities were found, it generally means that the scan did not reveal any areas of concern.
• Benign Findings – If something was noted, it might be described as benign. For example, simple cysts or fibroadenomas are generally not cause for alarm.
• Areas Needing Further Evaluation – Occasionally, a report may recommend additional imaging or tests if something appears unclear. This might be described as a need for further assessment rather than an immediate cause for worry.

Remember, many findings in an ultrasound report are benign and do not indicate serious health issues.

Discussing Your Results with Your Healthcare Provider

It is important to talk over your report with your healthcare provider. They can explain the findings in a way that is relevant to your personal health history. When discussing your results, consider asking questions like:

• “What does this finding mean for my overall health?”
• “Are there any further tests or follow-up appointments needed?”
• “How should I monitor this area over time?”

Clear communication with your doctor can help you understand your situation and decide on any next steps that might be necessary.

Taking the Next Steps

After reviewing your ultrasound report, the next steps may include routine monitoring or additional tests if required. Keeping a record of any changes you notice can be very useful during follow-up appointments. It is also helpful to note any symptoms or concerns that arise after your scan.

Staying proactive about your breast health is key. Regular screenings and open discussions with your healthcare provider can help maintain peace of mind and ensure that any changes are addressed promptly.

Get in Touch with Us

If you have questions about your breast ultrasound report or would like to discuss your results in more detail, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help. We understand that these conversations can be daunting, and we are here to provide support and guidance tailored to your needs.

Book a consultation today to review your report and discuss your next steps. Taking charge of your health is important, and we are ready to assist you on your journey towards a clearer understanding of your breast health.

If I Notice Skin Lumps, Should I Worry Even If My Mammogram Is Clear?

It can be quite unsettling to discover lumps on your skin, even when your recent mammogram shows no concerns. In this article, we explore what skin lumps might mean, why they sometimes occur despite clear mammogram results, and when it may be wise to seek further advice.

What Could These Lumps Be?

Skin lumps can arise from a range of causes, many of which are not linked to breast cancer. For example, you might notice:

• Epidermal Cysts – These are small, benign lumps that form under the skin and are usually harmless.
• Lipomas – Soft, fatty deposits that are typically benign and move easily under the skin.
• Fibroadenomas – Although these are usually found within the breast tissue itself, they can sometimes present as lumps near the skin.
• Inflammatory or Infectious Causes – Occasionally, lumps can result from an infection or an inflammatory response.

It is important to remember that many skin lumps are benign and may not require any treatment. However, understanding their nature is key to alleviating unnecessary worry.

What Does a Clear Mammogram Tell You?

Mammograms are designed to detect changes within the breast tissue, such as microcalcifications or internal masses, which are sometimes early signs of cancer. However, they do have limitations. Mammograms are not as effective at showing changes that occur in the skin or immediately beneath it. This means that even if your mammogram is clear, it might not reveal every abnormality, particularly those that are superficial or in the skin layer.

A clear mammogram is reassuring in that it generally indicates that there are no significant changes within the deeper breast tissue. Still, it does not always rule out all issues, particularly those involving the skin. This is why it is important to pay attention to any new or unusual lumps you might find.

When Should You Seek Further Advice?

Even though many skin lumps are harmless, there are instances when additional evaluation is a sensible precaution:

• Persistent or Changing Lumps – If a lump does not go away over time or begins to change in size, shape, or colour, it is a good idea to have it checked.
• Associated Symptoms – Should you experience any accompanying symptoms such as pain, redness, or warmth around the lump, or if it starts to interfere with your daily activities, further investigation is warranted.
• Family History or Risk Factors – If you have a family history of breast cancer or other risk factors, discussing any changes with your healthcare provider is especially important.

Remember, seeking advice is not a sign of alarm but rather a proactive step towards ensuring your continued health and peace of mind.

Taking Charge of Your Health

Staying in tune with your body is essential. Regular self-examinations can help you notice any changes early on. Keeping a record of your findings, including when you first noticed a lump and any changes over time, can be very useful information for your healthcare provider.

Additionally, maintaining regular appointments and discussions with your doctor allows you to address any concerns as they arise. This ongoing communication helps create a clear picture of your health and ensures that any necessary follow-up is timely.

Get in Touch for Guidance

If you are unsure about a skin lump or have noticed changes that worry you, please do not hesitate to reach out. Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help. We understand that every situation is unique and are committed to providing the care and support you need.

Book a consultation today to discuss your concerns and receive personalised advice. Taking this step can bring you peace of mind and help ensure that you remain in control of your health. Your well-being is important, and we are here to support you every step of the way.

Having Breast Pains, When to Seek Breast Screening?

Breast pain (known as mastalgia) can be unsettling, even though it is common for many individuals. While discomfort does not always indicate a serious problem, understanding the reasons behind breast pain and knowing when to seek screening are important steps in looking after your health. Below is an overview of the types of breast pain, the reasons they occur, and how regular screening can offer both early detection and peace of mind.

Describe Your Breast Pain

Breast pain can vary from mild tenderness to a sharper, more intense feeling. It might affect one breast or both, and can sometimes spread to the underarm area. Many people experience breast pain at some point, and it is often linked to hormonal changes or benign (non-cancerous) conditions. However, there are instances when breast pain may require further investigation.

Cyclical vs. Non-Cyclical Breast Pain

Cyclical Breast Pain

• Linked to Hormones – This type of pain is typically related to hormonal fluctuations in the menstrual cycle.
• Timing – It often starts just before a period and eases once menstruation begins.
• Pattern – The intensity can vary from month to month, but it usually follows a predictable cycle.

Non-Cyclical Breast Pain

• Unrelated to Menstrual Cycle – Pain may not have a clear pattern and can occur at any time.
• Possible Causes – Could stem from factors like muscular strain, infections, inflammation, or certain benign growths.
• Further Assessment – If pain persists or worsens, it may be advisable to have a healthcare professional evaluate the cause.

Overlapping Signs to Be Aware Of

While many causes of breast pain are not serious, it is important to stay aware of any additional symptoms that might suggest further attention:

• New Lumps or Thickening – If you feel a lump or detect an area of increased density, it is prudent to consult a healthcare provider.
• Changes in the Skin – Dimpling, redness, or alterations in texture may require further examination.
• Nipple Discharge – Any unexplained discharge, particularly if it is bloody, should be discussed with a doctor.
• Persistent or Worsening Pain – If your discomfort lasts for an extended period or becomes more intense, it may be beneficial to seek advice.

The Importance of Regular Screening

Regular screening, such as mammograms or breast ultrasounds, can help identify potential concerns at an early stage, sometimes before symptoms are noticeable. Early detection can make a meaningful difference in the management of any issues. Screening also provides reassurance that, even if pain is present, there are no underlying serious problems that remain undetected.

If you have significant risk factors—such as a family history of breast cancer or previous breast conditions—your doctor might recommend starting screening at an earlier age or scheduling examinations more frequently.

Book a Consultation at The Radhika Breast & General Surgery Clinic

Breast pain should not be a cause of panic, but it is always wise to stay aware of changes in your body. If you are experiencing ongoing discomfort or wish to discuss screening options, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can provide guidance tailored to your needs.

Book an appointment today to find out more about the steps you can take to maintain your breast health and gain peace of mind. Your well-being is important, and we are here to support you on your path towards feeling comfortable and confident.

When Should You Start Breast Cancer Screening? Guidelines and Risk Factors to Consider

Breast cancer screening is a key step in looking after your health. However, questions often arise about when screening should begin and how frequently it should be carried out. The right timing can vary from person to person, depending on factors such as age, family history, and individual risk. Below, you will find an overview of general guidelines, considerations based on genetic predispositions, and the importance of seeking personalised advice.

1. General Screening Guidelines

Many healthcare organisations suggest that women begin screening at specific ages, though these recommendations may differ slightly depending on the source. A commonly referenced starting age is 40 for annual or biennial mammograms. Others propose beginning at 50, with screenings taking place every two years. The precise schedule often depends on each person’s risk level and discussion with a medical professional.

• Mammograms – Often used as a primary tool for detecting early changes in breast tissue.
• Clinical Breast Examinations – Sometimes done in conjunction with mammograms to check for lumps or abnormalities.

It is worth noting that guidelines can change over time, so it is advisable to stay informed about any updates and speak to a healthcare provider if you have concerns.

2. Family History and Genetic Predispositions

Family History

If you have one or more close relatives—such as a parent, sibling, or child—who have been diagnosed with breast cancer, your risk may be higher than average. In these cases, screening may be recommended at a younger age, sometimes 10 years before the age at which your relative was diagnosed.

Genetic Factors

Certain inherited gene variations, such as BRCA1 or BRCA2, increase the likelihood of developing breast cancer. If you carry such a gene variation, your healthcare provider might recommend starting screenings earlier and opting for additional tests, such as MRIs, alongside mammograms.

It is important to remember that having a family history or a genetic predisposition does not guarantee you will develop breast cancer, but it does mean you may need to be more vigilant about screening.

3. Other Risk Factors

Apart from family history and genetic factors, there are additional elements that can influence when and how often you should begin screening:

• Hormonal Factors – Prolonged exposure to oestrogen, such as starting menstruation at a younger age or entering menopause later, may increase risk.
• Lifestyle Choices – Maintaining a balanced diet, engaging in regular physical activity, and limiting alcohol consumption are all part of a proactive approach.
• Previous Breast Conditions – Individuals who have had certain benign breast conditions may require more frequent monitoring.

A thorough conversation with your doctor can help identify any aspects of your history or lifestyle that might suggest an altered screening timeline.

4. Personalised Advice from a Healthcare Provider

While guidelines offer general direction, the choice of when to start and how often to continue screenings should ultimately be guided by individual circumstances. Factors such as your age, personal health history, and overall risk profile play a part in determining the screening strategy that suits you.

A healthcare professional can help you understand which methods—such as mammograms, ultrasounds, or additional imaging—are appropriate, and how regularly you should schedule them. This tailored approach ensures that your screening plan aligns with your specific needs and concerns.

Book a Consultation at The Radhika Breast & General Surgery Clinic

If you have questions about the right time to begin breast cancer screening or wish to discuss any concerns about your risk factors, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to offer guidance. By seeking advice that aligns with your personal circumstances, you can feel more confident in your healthcare choices.

Book an appointment today to start taking proactive steps towards safeguarding your breast health. Your well-being is important, and we are ready to assist you in creating a screening plan that fits your unique situation.

Mammogram vs. Breast Ultrasound: Which One Do You Need and Why?

Breast screening is an important part of looking after your health, but deciding which test is appropriate can sometimes be confusing. Mammograms and breast ultrasounds each have their unique advantages, and understanding how they work can help you and your doctor make an informed choice. Below is an overview of how these screening methods differ, what each one is suited to detect, and when one might be recommended over the other.

1. Mammogram: How It Works

A mammogram is an X-ray of the breast. During the procedure, the breast is gently compressed between two plates to spread out the tissue, which allows for clearer images. This technique can reveal small lumps, tiny calcium deposits (known as microcalcifications), and structural changes that may not be detected through touch alone.

• Suitable for detecting:
  
  • Early-stage growths or changes in breast tissue
  • Microcalcifications that could indicate possible issues
• Considerations:
  
  • Uses a low dose of radiation
  • May cause brief discomfort due to compression
  • Often recommended as a routine screening for women starting at a certain age, depending on individual risk factors

2. Breast Ultrasound: How It Works

A breast ultrasound uses high-frequency sound waves to produce images of the breast tissue. A gel is applied to the skin, and a handheld device called a transducer is moved over the area to capture real-time images. Ultrasound does not use radiation, which makes it a suitable option for younger individuals or those who may be pregnant or breastfeeding.

• Suitable for detecting:
  
  • Fluid-filled cysts, which appear differently from solid lumps
  • Areas of concern that need further evaluation after a mammogram
  • Possible issues in individuals with dense breast tissue
• Considerations:
  
  • Does not expose individuals to X-ray radiation
  • Can help clarify whether a lump is solid or fluid-filled
  • Sometimes used alongside a mammogram for a more detailed assessment

3. When Might You Need One Over the Other?

Mammogram First

Healthcare providers often recommend a mammogram as a starting point for routine breast screening, especially for women above a certain age or those with a family history of breast cancer. Mammograms are helpful in identifying early changes, such as microcalcifications.

Ultrasound for Further Assessment

If a mammogram identifies an area that needs more evaluation, or if there is a concern that might not be easily captured on a mammogram, an ultrasound may be advised. Ultrasound is also useful if you have dense breast tissue, which can sometimes make mammogram images harder to interpret. Additionally, pregnant or breastfeeding women may have an ultrasound to avoid exposure to any amount of radiation.

Combined Approach

In many cases, both tests are used together. A mammogram provides an overview of the breast, while an ultrasound offers a more targeted look at suspicious regions.

4. Making a Decision

Choosing between a mammogram and an ultrasound depends on several factors, including your age, medical history, breast density, and any symptoms you may be experiencing. It is important to speak with a medical professional who can recommend the most appropriate screening based on your individual circumstances.

Book a Consultation at The Radhika Breast & General Surgery Clinic

If you have concerns about your breast health or need guidance on whether a mammogram, breast ultrasound, or a combined approach is suitable for you, consider arranging an appointment with Dr Radhika Lakshmanan at The Radhika Breast & General Surgery Clinic. Dr Radhika Lakshmanan provides care that is tailored to each person’s needs, including screening advice, diagnosis, and treatment.

Taking a proactive step now can help you feel more at ease about your health. Book a consultation today and learn more about the screening method that may be right for you. Your well-being is our priority, and we look forward to supporting you on your path to a healthier future.