Pain in the breasts could be due to cyclical mastalgia, fibrocystic disease, hormonal changes due to OC pills or pregnancy
, granulomatous mastitis, abscess, cysts
and rarely cancer
. The treatment would depend upon the cause. Most common cause is cyclical mastalgia due to fibrocystic changes, which usually resolve with time. Treatment may be given if severe pain
The lump could be due to cyst, fibroadenoma or phylloides tumor or rarely cancer.
Shoulder pain could be due to musculoskeletal origin.
Better to see a breast surgeon who would examine you, ask for an ultrasound
(not in young patients) and SOS core biopsy
If you want to further discuss your symptoms, feel free to contact me directly.