Nipple Lumps: When to Seek Medical Advice

Q: Nipple Lumps: When to Seek Medical Advice

Hello： You can check the breast surgery department at the Ministry of Health and Welfare in Changhua, which cares about you.

Nipple lump

The color of the nipples is generally darker, and occasionally a hair may grow.
Recently, I noticed something resembling psoriasis on my right nipple, which occasionally itches but doesn't feel uncomfortable otherwise.
I've heard that some breast cancers can cause psoriasis-like changes on the nipple and may also itch, so I'm unsure about the reason for this.
If I need to see a doctor, which specialty should I consult?

Kai, 10~19 year old female. Ask Date: 2017/03/04

Dr. Yu Mingchang reply Surgery

Hello: You can check the breast surgery department at the Ministry of Health and Welfare in Changhua, which cares about you.

Reply Date: 2017/03/04

More Info

When it comes to nipple lumps or any unusual changes in the breast area, it is crucial to approach the situation with caution and awareness. The symptoms you describe, such as the appearance of a scaly or psoriasis-like lesion on the nipple, along with occasional itching, warrant a thorough evaluation by a healthcare professional. While it is understandable to have concerns about conditions like breast cancer, it is important to remember that not all changes in the breast or nipple area indicate a serious condition.
The first step in addressing your concerns is to consult a healthcare provider. In this case, you should consider seeing a dermatologist or a breast specialist, such as a general surgeon with experience in breast health. These specialists can provide a comprehensive evaluation of your symptoms, including a physical examination and possibly imaging studies, such as a mammogram or ultrasound, if deemed necessary.

The appearance of a scaly lesion on the nipple could be attributed to several benign conditions, including eczema, dermatitis, or even a fungal infection. However, as you mentioned, there is a possibility that it could be associated with Paget's disease of the nipple, which is a rare type of breast cancer that can present with similar symptoms. Paget's disease typically involves changes in the skin of the nipple and areola, and it may be accompanied by other signs such as discharge or a lump in the breast.
It is essential to keep in mind that early detection is key in managing any potential breast-related issues. If you notice any persistent changes, such as increased itching, changes in color, or the development of a lump, it is advisable to seek medical attention promptly. Your healthcare provider may perform a biopsy of the affected area to rule out any malignancy and to determine the appropriate course of treatment.

In summary, if you are experiencing unusual changes in your nipple area, it is important to consult a dermatologist or a breast specialist. They can provide a thorough evaluation and guide you through the necessary steps for diagnosis and treatment. Remember, while it is natural to have concerns about breast health, many conditions are treatable and manageable, especially when addressed early. Your health and peace of mind are paramount, so do not hesitate to seek professional advice.

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