What Are the 12 Signs of Breast Cancer?

Reviewed on 5/13/2022
Woman performing a self breast exam to check for breast cancer signs
The 12 signs of breast cancer include swelling or thickening of the breast, dimpling of the breast skin, nipple crust, redness or heat of breast skin, new nipple discharge that is not breast milk (including blood), skin sores, bumps, growing veins on the breast, sunken nipple, changes in the size or shape of the breast, "orange peel” skin, and a hard lump in the breast.

Breast cancer occurs when cells in the breast become abnormal and grow out of control. One of the most well-known symptoms is a palpable breast lump, but breast cancer does not always cause a lump in the breast. There are several breast changes women should be checking for regularly that may be a sign of breast cancer

12 Breast Cancer Symptoms

The Know Your Lemons Foundation created a campaign using a box of lemons modified to represent 12 signs of breast cancer that all women should be aware of. The 12 signs of breast cancer include: 

  • Swelling or thickening of the breast 
  • Dimpling of the breast skin
  • Nipple crust
  • Redness or heat of breast skin
  • New nipple discharge that is not breast milk, including blood
  • Skin sores
  • Bumps
  • Growing veins on the breast
  • Sunken nipple
  • Changes in the size or shape of the breast
  • “Orange peel” skin
  • Hard lump in the breast

Other signs and symptoms of breast cancer may include:

  • Skin changes on the breast: scaliness or flaky skin
  • Pain in any area of the breast
  • Nipple pain
  • Lump in the underarm area (armpit)

What Causes Breast Cancer?

It is not known what causes breast cancer, but risk factors are linked to the disease include: 

  • Being female
  • Age over 55
  • Inherited genes, including BRCA1 and BRCA2 and others
  • Family history or personal history of breast cancer
  • Overweight/obesity
  • Alcohol use 
  • Physical inactivity
  • Use of hormonal birth control
  • Having a first child after age 30 or having no children
  • Hormone replacement therapy (HRT) for menopause, particularly estrogen and progesterone (combined hormone therapy)
  • Dense breast tissue
  • Ethnicity: White women are slightly more likely to develop breast cancer during their lifetime, but African-American women are more likely to develop breast cancer under age 45
  • Certain benign breast conditions
  • Early onset of menstruation (before age 12)
  • Menopause after age 55
  • Radiation to the chest 

How Is Breast Cancer Diagnosed?

Sometimes, a person may discover a lump or notice changes in the breast. A doctor will perform a physical exam to look for breast changes.

Tests used to confirm a diagnosis of breast cancer include: 

What Is the Treatment for Breast Cancer?

Treatment for breast cancer usually involves a combination of surgery, radiation, chemotherapy, and other treatments. 

  • Surgery 
    • Mastectomy: surgical removal of the entire breast 
    • Lumpectomy: removal of cancer and some tissue surrounding it
  • Radiation therapy 
  • Chemotherapy
  • Hormone therapy
  • Targeted therapy
  • Immunotherapy
Reviewed on 5/13/2022
References
Image Source: iStock Images

https://www.uptodate.com/contents/breast-cancer-the-basics?search=breast%20cancer&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

https://www.uptodate.com/contents/breast-cancer-guide-to-diagnosis-and-treatment-beyond-the-basics?search=breast%20cancer&source=search_result&selectedTitle=8~150&usage_type=default&display_rank=8

http://www.cancer.org/cancer/breastcancer/overviewguide/breast-cancer-overview-what-causes

https://www.breastcancer.org/

https://knowyourlemons.org/