Nipple Injury and Breast Lumps: When to Seek Medical Advice - Surgery

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Breast issues


Hello, under normal circumstances, is it common for a person's nipples to be easily injured? My right nipple often cracks with slight pressure.
This situation has persisted for some time, and I have also discovered a hard lump on the right side of my right breast.
Are these two issues related? Usually, pressing on it does not cause pain, but I have recently noticed that it has become painful after pressing, coinciding with my menstrual period.
How can I differentiate whether the lump in my breast is a milk duct or an actual hard lump? Given the nipple's tendency to crack, is it necessary to seek medical attention? If so, should I avoid going during my menstrual period? When would be the most appropriate time to seek medical care?

Chen, 20~29 year old female. Ask Date: 2002/11/18

Dr. Zhang Zhenxiang reply Surgery


In general, if the nipples are easily injured, it is best to have them checked by a breast specialist to rule out any issues.
As for breast lumps accompanied by pain (especially during menstruation), they may be indicative of fibrocystic breast disease, which is mostly benign.
You can schedule an appointment with a breast surgeon within a week after your menstrual period to get examined and also learn about breast self-examination techniques.

Reply Date: 2002/11/18

More Info


When it comes to nipple injuries and the presence of breast lumps, it is essential to understand the potential implications and when to seek medical advice. Your concerns about your right nipple frequently cracking and the discovery of a hard lump in the same breast are valid and warrant attention.

Firstly, it is not typical for nipples to be prone to injury under normal circumstances. However, certain factors can contribute to nipple trauma, such as friction from clothing, aggressive washing, or even breastfeeding. If your nipple is cracking frequently, it may indicate an underlying issue, such as dermatitis, an infection, or even a structural problem with the breast tissue.
The hard lump you mentioned could be a variety of things. It could be a benign condition such as a cyst or a fibroadenoma, which are common in women of reproductive age. However, it is crucial to differentiate between benign lumps and those that may require further investigation. The fact that the lump does not cause pain when pressed is somewhat reassuring, but the sudden onset of pain during your menstrual cycle could indicate hormonal changes affecting breast tissue, which is common.
To determine whether the lump is a normal breast structure or something more concerning, a clinical breast examination by a healthcare provider is essential. They will assess the lump's characteristics, such as its size, shape, mobility, and texture. Additionally, imaging studies like a mammogram or ultrasound may be recommended to provide further clarity on the nature of the lump.

Given that you have experienced nipple injuries and have discovered a lump, it is advisable to seek medical attention. While it might be tempting to wait, especially if there is no significant pain, early evaluation can help rule out any serious conditions, including breast cancer.
As for timing your visit to the doctor, it is generally acceptable to seek medical advice during your menstrual cycle. However, some women may experience breast tenderness and swelling during this time, which can make it more challenging to assess lumps accurately. If you can, consider scheduling your appointment for a week after your period ends when your breasts are likely to be less swollen and tender. This timing can help your healthcare provider perform a more accurate examination.

In conclusion, while nipple injuries can occur for various reasons, the combination of a recurring injury and the presence of a hard lump in your breast should not be ignored. Seeking medical advice is crucial for proper evaluation and peace of mind. Early intervention can lead to better outcomes, so do not hesitate to reach out to a healthcare provider to discuss your symptoms and concerns.

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