Enlarged Areola???

I am really worried because I have never had this happen before. I know I'm not pregnant so it has nothing to do with that. I thought about my family, which 2-3 women have had breast cancer my grandma is cancer free as of a few years ago and my aunt died from it. Now I'm worried because I have weird lumps on my areola. But my left areola has enlarged quite a bit and has gotten a little darker too :(

Please let me know what I should do. I dont have insurance to go to a doctor...What are my options. I am only 20 years old :(

[Kamal S Saini, MD, MRCP (UK), DM]

The bumps you mention are, in my guess, normal structures that anatomists call "Montgomery's tubercles".
At age 20, it is normal for a young lady to notice some darkening of the areola, as well as some increase in size of the breast, nipple, and areola.
Are you sexually active? Do you use contraceptive pills? Hormonal changes can sometimes lead to areolar color darkening.