A woman in a yellow shirt doing a self exam for breast cancer.

7 Most Common Signs of Breast Cancer

How to Spot Breast Cancer Signs Early

According to the American Cancer Society, one in eight women in the U.S. will develop invasive breast cancer during her lifetime. While survival rates have significantly improved due to early detection and advanced treatment, recognizing the early signs of breast cancer is crucial. This article outlines the most common signs of breast cancer to watch for, and dispels common myths that can delay diagnosis and proper care.

1. A New Lump in the Breast or Underarm

One of the most well-known symptoms of breast cancer is a lump or mass in the breast or underarm area. These lumps are often hard and painless, though some may be tender or soft. Not all lumps are cancerous—many are benign cysts or fibrous tissue—but it’s essential to have any new or unusual lump evaluated by a healthcare provider.

Detecting a lump early can lead to a faster diagnosis and more treatment options, potentially improving the outcome.

2. Change in Breast Size or Shape

Sudden or gradual changes in the size or shape of one breast, especially if not associated with weight gain, menstruation or pregnancy, could be a warning sign. This might include noticeable swelling, shrinking or an unusual asymmetry between breasts.

Structural changes could be caused by a tumor altering the tissue or fluid buildup, and catching this early allows for further testing and diagnosis.

3. Dimpling or Skin Changes

A dimpled appearance on the breast, sometimes described as looking like the skin of an orange (called “peau d’orange"), can indicate inflammatory breast cancer—a rare but aggressive form of the disease. Other skin changes may include redness, scaling or thickening of the breast skin.

These symptoms often indicate a more advanced stage of breast cancer. Immediate attention can help prevent further progression.

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4. Nipple Discharge (Not Breast Milk)

Nipple discharge that is bloody, clear or occurs without squeezing should raise concern. While discharge can result from benign conditions, unexplained fluid—especially from only one breast—should be evaluated.

Certain types of breast cancer, such as ductal carcinoma, can cause nipple discharge, and early detection can lead to more effective treatment.

5. Nipple Retraction or Inversion

If the nipple suddenly begins to turn inward or appears flatter than usual, it could be a sign of a tumor pulling on the tissues underneath.

Nipple inversion is not always related to cancer, but when it’s a new development, it warrants investigation to rule out serious underlying causes.

6. Breast or Nipple Pain

While breast cancer is often painless, persistent pain in the breast or nipple—especially when localized and not linked to menstrual cycles—shouldn’t be ignored.

Ongoing pain could signal an underlying issue such as a tumor pressing against nerves or inflammatory changes that require medical attention.

7. Swollen Lymph Nodes

Swelling around the collarbone or under the arm can indicate that breast cancer has spread to nearby lymph nodes, even before a tumor in the breast is noticeable.

Lymph node involvement often influences treatment decisions and outcomes, making early detection vital.

Why Early Detection Is Critical

When breast cancer is found early—before it spreads beyond the breast—it is much easier to treat successfully. The five-year survival rate for localized breast cancer is about 99%. Regular self-exams, annual clinical breast exams and mammograms (especially for women over 40 or those with a family history) are essential tools for catching cancer early.

Debunking Common Myths About Breast Cancer

Understanding the truth behind breast cancer can empower individuals to take charge of their health. Here are a few common myths:

  • Only women with a family history get breast cancer. While a family history does increase risk, the majority of breast cancer cases occur in women with no family history.
  • A lump is the only sign of breast cancer. As outlined above, breast cancer can manifest in many ways, including skin changes, nipple discharge and pain. While the most common signs of breast cancer include lumps, they're not the only symptom to watch for.
  • Men don’t get breast cancer. While rare, men can and do get breast cancer. Awareness is just as important for men, especially if they notice lumps or nipple changes.
  • A mammogram can cause breast cancer to spread. There’s no scientific evidence that mammograms cause cancer to spread. In fact, mammograms are a key tool in early detection.

Take Action for Your Health

If you notice any of the most common signs of breast cancer mentioned above, don’t wait: talk to your doctor. Early detection saves lives. With regular screenings, self-awareness and prompt attention to changes, breast cancer can often be caught early and treated effectively.

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