When to See Your Doctor 

Most women assume that finding a lump, or finding one that has changed from a prior examination, is the only reason for seeing a doctor for a breast evaluation. But there are other important findings which you should discuss with your doctor.

In addition to seeing your doctor if there is a new lump or a change in a previous lump, be aware of the following, other potential warning signs.

  • Change in breast size, shape, symmetry or appearance – remember that most women do not have breasts that are exactly alike, but that each breast remains essentially consistent in these characteristics from month to month.

  •  
  • Change in the appearance of the skin over breast tissue – for example, flattening, dimpling, indentation, rippling, or scaling of the skin.

  •  
  • Change in the temperature of the skin, usually a warm or hot spot.

  •  
  • Discharge from the nipple – clear, straw-colored, dark or bloody.

  •  
  • Nipple itching, scaling, burning, dimpling, or turning inward.

  •  
  • Persistent pain or tenderness in the breast that is new.

  •  
  • Swelling under the arm.
Your own information can be helpful to your doctor. If you keep a journal or drawings from your regular monthly breast self exams, bring these with you to the doctor’s office.

The American Academcy of Family Physicians features a self-care flow chart that may help you decide when to call your doctor. Find out more.