Breast Concerns: What to Know About Nipple Discharge and Lumps - Breast and Thyroid

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Breast concerns?


Hello doctor, I have been able to express something resembling a pimple from my right nipple for about a year.
Recently, I experienced pain in the right nipple once, and today I noticed a hard lump approximately 0.5 to 0.6 cm in size.
It’s not very hard and does not move, while the other side is normal.
Could this be a tumor?

Niming, 20~29 year old female. Ask Date: 2016/04/30

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Anonymous: It may be a skin cyst.
If it enlarges or shows symptoms, please seek an outpatient examination.

Reply Date: 2016/04/30

More Info


When it comes to breast health, any changes such as nipple discharge, lumps, or pain should be taken seriously and evaluated by a healthcare professional. In your case, you mentioned experiencing a discharge from your right nipple that resembles a pimple, along with the recent discovery of a hard lump approximately 0.5 to 0.6 cm in size. It's understandable to be concerned about these symptoms, especially given the potential implications for breast health.

First, let's address the nipple discharge. Discharge from the nipple can occur for various reasons, including hormonal changes, infections, or benign conditions such as duct ectasia or intraductal papillomas. In some cases, it can also be associated with more serious conditions, including breast cancer, although this is less common. The fact that you have experienced this discharge for about a year suggests that it may be a chronic issue, but it still warrants further investigation.

The lump you described is another important factor to consider. While not all lumps in the breast are cancerous, any new lump or change in the breast should be evaluated by a healthcare provider. The characteristics of the lump, such as its size, shape, and whether it is movable or fixed, can provide important clues about its nature. A lump that is hard and does not move may raise some concern, but it is essential to remember that many benign conditions can also present in this way.

Given your symptoms, I recommend that you schedule an appointment with a healthcare provider, preferably a breast specialist or a general surgeon who can perform a thorough clinical examination. They may recommend imaging studies such as a mammogram or ultrasound to further evaluate the lump and assess the overall health of your breast tissue. In some cases, a biopsy may be necessary to determine the nature of the lump definitively.

It's also important to consider your overall health and any other symptoms you may be experiencing. Factors such as age, family history of breast cancer, and personal medical history can influence the risk of breast conditions. If you have a family history of breast cancer or other risk factors, be sure to discuss these with your healthcare provider.

In summary, while the symptoms you are experiencing may not necessarily indicate a serious condition, it is crucial to seek medical evaluation to rule out any potential issues. Early detection and diagnosis are key to effectively managing breast health concerns. Remember, it is always better to err on the side of caution when it comes to changes in your body. Your health and peace of mind are paramount, so do not hesitate to reach out for professional guidance.

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