Male nipple lump
Dear Dr.
Yuan,
About a month ago, I discovered a hard lump under my left areola.
It causes slight pain and a prickling sensation when pressed, and this has persisted until now.
I am slightly overweight, so there is more tissue around my breasts, resembling a condition known as gynecomastia.
Additionally, I have previously noticed a hard lump under my left areola that caused sharp pain when pressed, but it disappeared after some time.
This time, it has recurred.
I would like to ask you, Dr.
Yuan:
1.
Based on your clinical experience, what condition is most likely causing the symptoms I described?
2.
What would be the best course of action for me to take moving forward?
Thank you, Dr.
Yuan.
Axiang, 30~39 year old female. Ask Date: 2019/06/04
Dr. Yuan Tianmin reply Breast and Thyroid
Based on the symptoms you described, it seems more like a case of gynecomastia.
However, I recommend that you visit a specialist for a thorough examination.
Reply Date: 2019/06/04
More Info
Understanding male nipple lumps can be a concerning issue, especially when accompanied by pain or discomfort. Based on your description, it seems you have experienced a recurring hard lump beneath the left nipple, which has caused some pain upon pressure. This situation can arise from various causes, and I will address the potential reasons and treatment options available.
Possible Causes of Male Nipple Lumps
1. Gynecomastia: This is a condition characterized by the enlargement of breast tissue in males. It can be caused by hormonal imbalances, particularly an increase in estrogen or a decrease in testosterone. Given your mention of being slightly overweight, excess fatty tissue can also contribute to the appearance of breast tissue, which may feel like lumps.
2. Fibroadenoma: These are benign tumors that can occur in breast tissue. They are usually painless and can feel firm or rubbery. While more common in females, they can occur in males as well.
3. Lipoma: This is a benign tumor made of fat tissue. Lipomas are generally soft and movable under the skin. They are not usually painful unless they press on nearby structures.
4. Infection or Inflammation: Conditions such as mastitis (inflammation of breast tissue) can lead to lumps and tenderness. This is more common in females but can occur in males, especially if there is an underlying condition that predisposes to infection.
5. Cysts: Fluid-filled sacs can develop in the breast tissue and may cause discomfort or a lump-like sensation.
6. Malignancy: Although less common, it is essential to consider the possibility of breast cancer, even in males, especially if there are changes in the skin or nipple discharge.
Recommended Actions
1. Consult a Healthcare Professional: Given the persistence of the lump and associated pain, it is crucial to consult a healthcare provider, preferably a specialist in breast health or a general surgeon. They can perform a physical examination and may recommend imaging studies such as an ultrasound or mammogram to assess the lump further.
2. Biopsy: If there is any concern regarding the nature of the lump, a biopsy may be necessary to rule out malignancy or to confirm a benign condition.
3. Monitor Changes: Keep track of any changes in the lump, including size, shape, or associated symptoms (like discharge or skin changes). This information will be valuable for your healthcare provider.
4. Lifestyle Modifications: If gynecomastia is suspected, lifestyle changes such as weight loss and exercise may help reduce breast tissue. Avoiding substances that can affect hormone levels, such as anabolic steroids or certain medications, is also advisable.
5. Medication: In some cases, hormonal treatments may be prescribed if an imbalance is identified. However, this should be discussed thoroughly with your healthcare provider.
Conclusion
In summary, the lump you are experiencing could be due to several benign conditions, but it is essential to rule out more serious issues. Consulting with a healthcare professional will provide you with a clearer diagnosis and appropriate treatment options. Remember that early intervention is key in managing any health concern effectively.
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