Breast Changes in Men: What to Know After Ultrasound

An ultrasound examination has been performed, but there are still many concerns?

First of all, I am male.
Two weeks ago, I discovered a few hard lumps on the upper part of my left nipple that have elongated.
Out of fear, I proactively underwent an ultrasound examination.
The blood test results indicated that my hormone levels are normal, and the doctor, after performing the ultrasound, said it is not a tumor.
The elongated structures appear to be benign and are likely fatty tissue.
The doctor mentioned it could be lipomatosis, but I couldn't find much information online.
Although I was prescribed anti-inflammatory medication, I have noticed that the lumps continue to increase in size.
Externally, there are no visible changes, but when I palpate, I can feel something resembling blood vessels.
There is no tenderness, but occasionally I experience a slight sharp pain.
Could this actually be muscle inflammation? The right side of my chest is unaffected, while the left side has these lumps, which makes me quite worried.
I have a follow-up appointment next week and hope the doctor can provide me with some insights based on your experience.

Axiang, 20~29 year old female. Ask Date: 2018/12/06

Dr. Li Zhonghuai reply Surgery

Hello! "There are several hard lumps that have grown into elongated shapes." It can only be assessed in person; it's difficult to explain online! Young males often experience gynecomastia, while others mostly have skin-related conditions.
Take care! Changhua Hospital is here for you!

Reply Date: 2018/12/06

More Info

Understanding breast changes in men can be a complex topic, especially when it comes to interpreting ultrasound results and understanding the implications of any findings. Based on your description, it sounds like you have already taken a proactive approach by seeking medical attention and undergoing an ultrasound examination. This is an important first step in addressing any concerns regarding breast changes.

From your ultrasound results, it appears that the findings were not indicative of a tumor, which is reassuring. The mention of "fatty tissue" and the possibility of "lipomatosis" or "fatty inflammation" suggests that what you are experiencing may not be a serious condition. Lipomatosis refers to the presence of multiple lipomas, which are benign tumors made up of fat tissue. These can occur in various parts of the body, including the breast, and are generally harmless.

The fact that you have normal hormone levels is also a positive sign. Hormonal imbalances can sometimes lead to breast tissue changes in men, a condition known as gynecomastia. However, since your hormone levels are normal, this is less likely to be the cause of your symptoms.
You mentioned that the hard areas you feel have become elongated and that there is some discomfort associated with them. It is not uncommon for individuals to experience variations in breast tissue, including the development of fibrous tissue or changes due to inflammation. The intermittent sharp pain you describe could be related to muscle strain, especially if you have been engaging in physical activities that involve the chest muscles.
It is also worth noting that breast tissue in men can be sensitive to various factors, including physical activity, weight changes, and even stress. The asymmetry you observe between your left and right breasts is not unusual, as many individuals have slight differences in breast tissue density and composition.

Regarding your concerns about the growth of these hard areas, it is essential to maintain open communication with your healthcare provider. Since you have a follow-up appointment scheduled, it would be beneficial to discuss your ongoing symptoms, including the changes you have noticed and any discomfort you are experiencing. Your doctor may consider additional imaging or tests if they feel it is necessary to rule out any other conditions.

In the meantime, here are a few points to consider:
1. Monitor Changes: Keep track of any changes in size, shape, or discomfort in the areas you are concerned about. Documenting these changes can provide valuable information for your healthcare provider during your follow-up visit.

2. Avoid Self-Diagnosis: While it is helpful to research your symptoms, be cautious about self-diagnosing based on information found online. Not all sources are reliable, and it is best to rely on professional medical advice.

3. Lifestyle Factors: Consider your lifestyle habits, including exercise, diet, and stress management. Maintaining a healthy lifestyle can positively impact your overall well-being and may help alleviate some symptoms.

4. Follow-Up Care: If your symptoms persist or worsen, do not hesitate to seek further evaluation. It is always better to err on the side of caution when it comes to health concerns.

In conclusion, while your ultrasound results are reassuring, it is essential to continue monitoring your symptoms and maintain open communication with your healthcare provider. They will be able to provide you with the best guidance based on your specific situation and any changes you may experience.

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