Nipple Polyps: Symptoms, Causes, and Treatment Options - Breast and Thyroid

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Nipple polyp blister


Hello Doctor, I have had a growth on my right nipple that resembles a granulation tissue or polyp for several years.
Since it hasn't been painful and its appearance hasn't changed much, I haven't paid much attention to it.
However, yesterday I noticed it suddenly got a bit larger, and when I squeezed it, it burst like a blister, releasing some fluid, and the skin of the growth became wrinkled.
This happened once over a year ago, and at that time, the gynecologist said it might be a wart and that it wouldn't cause any issues as long as it didn't change.
However, since the same symptoms have recurred after more than a year, I would like to ask the doctor how I should proceed.
Thank you!

Ching, 20~29 year old female. Ask Date: 2020/02/04

Dr. Yuan Tianmin reply Breast and Thyroid


The actual situation may still require a visit to a breast specialist clinic for examination.

Reply Date: 2020/02/04

More Info


Nipple polyps, often referred to as nipple lesions or growths, can be concerning for many individuals, particularly when changes occur in size or appearance. Based on your description, it sounds like you may be experiencing a benign condition, but it’s essential to understand the symptoms, causes, and treatment options associated with nipple polyps to ensure proper management.


Symptoms of Nipple Polyps
Nipple polyps can manifest in various ways, including:
1. Visible Growths: These may appear as small, fleshy bumps on or around the nipple. They can be similar in appearance to warts or skin tags.

2. Fluid Discharge: As you noted, the polyp may produce a discharge, which can be clear, yellow, or even bloody. This discharge can occur spontaneously or when pressure is applied.

3. Changes in Size or Shape: Any noticeable change in the size, shape, or color of the polyp should be monitored closely.

4. Skin Changes: The skin over the polyp may become wrinkled or change in texture, as you described.


Causes of Nipple Polyps
The exact cause of nipple polyps is not always clear, but several factors may contribute:
1. Hormonal Changes: Fluctuations in hormone levels, particularly during menstrual cycles or pregnancy, can lead to the development of benign growths.

2. Infections: Sometimes, infections in the breast tissue can lead to the formation of polyps or similar lesions.

3. Trauma or Irritation: Repeated trauma or irritation to the nipple area can also result in the formation of polyps.


Treatment Options
Given that you have experienced changes in the polyp, it is crucial to seek medical evaluation. Here are some potential treatment options:
1. Observation: If the polyp is benign and not causing any significant symptoms, your healthcare provider may recommend simply monitoring it over time.

2. Surgical Removal: If the polyp is bothersome, changes in appearance are noted, or there is concern about malignancy, surgical excision may be recommended. This is typically a straightforward outpatient procedure.

3. Biopsy: If there is any doubt about the nature of the polyp, a biopsy may be performed to rule out any malignant changes. This involves removing a small sample of tissue for laboratory analysis.

4. Medication: If an infection is suspected, antibiotics may be prescribed. Hormonal treatments may also be considered if hormonal imbalances are contributing to the growth.


When to Seek Medical Attention
It is essential to consult with a healthcare provider, especially given the recent changes in your polyp. You should seek medical attention if you experience:
- Sudden changes in the size or appearance of the polyp.

- Persistent or unusual discharge, particularly if it is bloody or foul-smelling.

- Pain or discomfort in the area.

- Any new symptoms, such as swelling or redness around the nipple.


Conclusion
While nipple polyps are often benign, any changes in their appearance or symptoms warrant a thorough evaluation by a healthcare professional. It is advisable to schedule an appointment with a gynecologist or a breast specialist who can provide a comprehensive assessment and discuss the best course of action based on your specific situation. Early intervention can help alleviate concerns and ensure appropriate management of any breast-related issues.

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