White Spots on Nipples: Should You Worry About Breast Cancer? - Obstetrics and Gynecology

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The nipple appears white and resembles a broken skin?


Hello doctor👋 I recently noticed a small white area on my nipple that looks a bit like broken skin.
I'm not quite sure about it.
When I shower, I can gently peel it off, but there is still some white residue on the nipple.
I would like to ask if this could be a sign of breast cancer or something similar? I'm a bit worried, thank you for your help.

Fish, 10~19 year old female. Ask Date: 2020/03/05

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it might not be a concern, but if you're unsure, please consult a breast surgeon.
Wishing you good health.

Reply Date: 2020/03/05

More Info


When it comes to the appearance of white spots or patches on the nipples, it is understandable to feel concerned, especially with the prevalence of information regarding breast cancer. However, it is important to approach this situation with a clear understanding of the potential causes and their implications.

Firstly, the presence of white spots on the nipples can be attributed to several benign conditions rather than breast cancer. Common causes include:
1. Skin Irritation or Dermatitis: The skin on and around the nipples can become irritated due to various factors such as friction from clothing, allergic reactions to soaps or detergents, or even hormonal changes. This irritation can lead to peeling or the formation of white patches.

2. Seborrheic Keratosis: This is a non-cancerous skin growth that can appear as a white or yellowish spot. It is generally harmless and does not require treatment unless it causes discomfort or cosmetic concerns.

3. Eczema or Psoriasis: These skin conditions can cause dryness, itching, and the formation of white patches. They are typically manageable with topical treatments.

4. Infections: Sometimes, a localized infection can lead to the formation of white spots or pus-filled blisters. If accompanied by pain, swelling, or discharge, it is advisable to seek medical attention.

5. Mammary Duct Ectasia: This condition occurs when a milk duct beneath the nipple dilates, fills with fluid, and thickens. It can lead to a sticky, white or greenish discharge and is more common in women approaching menopause.

While these conditions are generally benign, it is crucial to monitor any changes in your symptoms. If the white spots persist, worsen, or are accompanied by other symptoms such as pain, discharge, or changes in the appearance of the breast, it is essential to consult a healthcare professional. A breast specialist can perform a thorough examination and, if necessary, recommend imaging studies or biopsies to rule out any serious conditions, including breast cancer.

Breast cancer symptoms can vary widely, and while some individuals may experience lumps or changes in breast shape, others may not exhibit any noticeable signs in the early stages. It is important to remember that not all breast changes indicate cancer. Regular self-examinations and routine screenings, such as mammograms, are vital for early detection and peace of mind.

In conclusion, while the appearance of white spots on the nipples can be concerning, it is often related to benign conditions. However, if you have any doubts or if your symptoms change, do not hesitate to seek medical advice. Early intervention and professional evaluation are key to addressing any health concerns effectively. Remember, your health and well-being are paramount, and staying informed is an essential part of maintaining them.

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