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I get this occasionally, and it seems to be partly related to hormones and partly related to muscle strain - for example, if I've been lifting weights, or if I went without wearing a bra for a few days. However, in at least one case (when I was like 17) it was due to a small, fibrous (benign) tumor that had to be removed. I'd say do regular breast self-exams, keep an eye on when it happens and what it seems to be related to, and go to the doctor if it gets worrisome. (Though it seems like you're already pretty worried about it.)
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