Nipple Lumps: When to Seek Medical Attention - Surgery

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Nipple lump


Hello, Doctor.
Two days ago, I suddenly noticed a lump behind my left nipple extending to the areola area, and the skin was somewhat red and swollen.
It was painful to the touch, similar to an inflammatory sensation.
I initially planned to seek medical attention, but since yesterday, the redness and swelling have subsided, and the pain has significantly decreased.
The hard lump is still present but has shrunk in size.
I'm unsure if I still need to see a doctor given this situation.
After researching, I understand that lumps behind the nipple should not be taken lightly, but since the symptoms have improved, I would appreciate your guidance.
Thank you, Doctor!

Niming, 20~29 year old female. Ask Date: 2017/03/14

Dr. Xu Kaixi reply Surgery


Hello: Based on your description, this situation seems more like folliculitis or a subcutaneous cyst infection around the breast.
If your symptoms have improved, you can monitor it for a while longer, or you may go directly to a surgical or dermatology clinic for an examination.

Reply Date: 2017/03/14

More Info


When it comes to understanding nipple lumps, especially in the context of your recent experience, it is crucial to approach the situation with caution and awareness. The presence of a lump behind the nipple or in the areola area, particularly when accompanied by redness, swelling, and tenderness, can indicate various conditions, some of which may require medical attention.

In your case, you mentioned that the redness and swelling have subsided, and while the lump remains, it has decreased in size and is less painful. This is a positive sign, as it may suggest that the inflammation is resolving. However, it is essential to consider a few key factors before deciding whether to seek further medical evaluation.

1. Duration and Changes: If the lump has been present for a short time and is showing signs of improvement, it may be related to a benign condition such as a cyst, a blocked milk duct, or even a localized infection (like mastitis). These conditions can sometimes resolve on their own, especially if the symptoms are diminishing.

2. Persistent Symptoms: Even though the pain and redness have decreased, if the lump persists for more than a few weeks or if you notice any changes in its characteristics (such as increasing size, hardness, or the development of new symptoms), it is advisable to consult a healthcare professional. Persistent lumps, especially in the breast area, warrant further investigation to rule out any serious conditions, including breast cancer.

3. Associated Symptoms: Pay attention to any additional symptoms that may arise. These could include changes in the skin over the lump (such as dimpling, puckering, or changes in color), discharge from the nipple, or any systemic symptoms like fever or weight loss. The presence of these symptoms would necessitate a more urgent evaluation.

4. Family History and Risk Factors: Consider your personal and family medical history. If there is a history of breast cancer or other breast-related issues in your family, it is prudent to be more vigilant and seek medical advice sooner rather than later.

5. Self-Examination: Continue to perform regular self-examinations of your breasts. Familiarizing yourself with the normal texture and feel of your breast tissue can help you identify any changes more readily. If you notice any new lumps or changes, make an appointment with your healthcare provider.

In summary, while the improvement in your symptoms is encouraging, it is essential to remain vigilant. If the lump does not resolve completely or if you have any concerns, it is best to consult with a healthcare professional. They may recommend imaging studies, such as a mammogram or ultrasound, to further evaluate the lump and ensure that it is not indicative of a more serious condition. Remember, it is always better to err on the side of caution when it comes to breast health.

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