Male Nipple Lumps: Causes and Treatment Options - Breast and Thyroid

Share to:

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.

Similar Q&A

Understanding Male Breast Pain: A Guide to Diagnosis and Treatment

Hello Dr. Zhou, I went to the hospital and saw a general surgeon who performed an ultrasound. The tissue around my nipple is swollen, forming a hard area about 3-4 cm square. Sometimes the nipple experiences sharp pain. The doctor advised observation and did not prescribe any med...


Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ah Xiang, 1. The most common cause of breast swelling and pain in males is "gynecomastia," which is caused by an imbalance of female hormones in the body. It is often seen in adolescent males and patients with liver disease. Some cases are attributed to medication...

[Read More] Understanding Male Breast Pain: A Guide to Diagnosis and Treatment


Understanding Painful Nipple Lumps: Causes, Symptoms, and Remedies

This morning I woke up to find a hard lump on my nipple, and it hurts when I touch it. I'm a bit worried about what this symptom could be. How can I get rid of this lump? What could be causing this symptom? Are there any dietary or lifestyle changes I should pay attention to...


Dr. Lin Kecheng reply Surgery
During the developmental period of a 12-year-old male, the appearance of painful lumps in the nipples can have various causes, most of which are benign and related to hormonal changes during development. The focus should not be on how to eliminate these lumps, but rather on inves...

[Read More] Understanding Painful Nipple Lumps: Causes, Symptoms, and Remedies


Understanding and Treating Unusual Nipple Shapes in Young Men

Hello, doctor. I am a 24-year-old male, and I have noticed something unusual about my left nipple. There is a deep indentation in the center that divides the nipple into two semicircles, resembling a flat-head screw. This has been the case since middle school, and it makes me fee...


Dr. Peng Xianwen reply Surgery
Hello Mr. Leo: The best option is orthopedic surgery, but general surgery can also be performed. Director of Surgery, Nantou Hospital, Peng Hsien-Wen.

[Read More] Understanding and Treating Unusual Nipple Shapes in Young Men


Understanding Painful Nodules Under Male Nipples: Causes and Concerns

I am a 20-year-old male, and I have a lump on my right nipple that is slightly protruding, approximately one centimeter in size. It hurts when I press on it. I would like to know what the issue might be.


Dr. Chen Yunfang reply Oncology
Hello, please consult a breast surgeon, as this issue cannot be addressed online. Thank you.

[Read More] Understanding Painful Nodules Under Male Nipples: Causes and Concerns


Related FAQ

Nipple Lump

(Surgery)

Gynecomastia

(Breast and Thyroid)

Breast Cyst

(Breast and Thyroid)

Axillary Lump

(Breast and Thyroid)

Fibroadenoma

(Breast and Thyroid)

Nipple Lump

(Oncology)

Nipples And Areola

(Breast and Thyroid)

Hyperthyroidism

(Breast and Thyroid)

Lump Around The Areola

(Breast and Thyroid)

Breast Calcification

(Breast and Thyroid)