Is It Normal to Find a Small Lump Under the Areola?

There is a lump under the areola skin?

It may not be visible externally, but when pinching the tissue around the areola, a small lump about the size of a grain of rice is felt and does not cause pain.
Is this normal?

Zhang, 20~29 year old female. Ask Date: 2020/03/31

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to consult a breast surgeon.
Wishing you good health.

Reply Date: 2020/03/31

More Info

Finding a small lump under the areola can be concerning, but it's important to understand that not all lumps are indicative of a serious condition. In many cases, small lumps in the breast area can be benign and may be related to normal breast tissue changes. Here are some common causes for such lumps:
1. Fibrocystic Changes: This is a common condition characterized by lumpy or rope-like breast tissue. It often occurs due to hormonal fluctuations during the menstrual cycle. These lumps can feel tender or painful, but they are usually not harmful.

2. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can vary in size and may feel like a lump. Cysts are generally benign and may not require treatment unless they cause discomfort.

3. Fibroadenomas: These are solid, non-cancerous tumors made up of glandular and connective tissue. They are often round, smooth, and movable under the skin. Fibroadenomas are most common in younger women and typically do not require treatment unless they grow or cause discomfort.

4. Intraductal Papillomas: These are small, wart-like growths that can develop in the milk ducts of the breast. They are usually benign but can sometimes cause discharge from the nipple.

5. Lipomas: These are soft, fatty lumps that can occur anywhere in the body, including the breast. They are generally harmless and do not require treatment unless they become bothersome.

While many lumps are benign, it is essential to monitor any changes in size, shape, or associated symptoms such as pain or discharge. If the lump persists, grows, or if you notice any other concerning symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging tests, such as a mammogram or ultrasound, to assess the lump further.

In summary, while finding a small lump under the areola can be normal and often benign, it is crucial to stay vigilant and seek medical advice if you have any concerns. Regular breast self-exams and annual check-ups with a healthcare provider are essential for maintaining breast health and detecting any potential issues early on.

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