Subcutaneous Nodules on the Areola: When to Seek Medical Advice

Subcutaneous nodule in the areola?

There are no visible abnormalities on the surface, but when pinching the skin around the areola, there is a small hard lump about the size of a grain of rice, which is not painful.
What could this be? Should I see a doctor?

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

Dr. Yuan Tianmin reply Breast and Thyroid

Typically, there are openings of glands on the areola, and sometimes they can become noticeably enlarged.
This is a benign condition, but if there are any concerns, it is advisable to visit a clinic for an examination.

Reply Date: 2020/04/02

More Info

Subcutaneous nodules on the areola can be concerning for many individuals, especially when they are noticed for the first time. The presence of a small, hard lump, about the size of a grain of rice, that is not painful and does not show any external abnormalities can have several potential explanations.
One common cause of such nodules is the presence of Montgomery glands, which are sebaceous glands located on the areola. These glands can become more prominent during hormonal changes, such as those occurring during menstruation, pregnancy, or breastfeeding. They typically appear as small, painless bumps and are completely normal.
Another possibility is the formation of lipomas, which are benign tumors made of fat tissue. These are usually soft and movable under the skin, but they can sometimes feel firmer depending on their location and the surrounding tissue.
In some cases, the nodules could be cysts, which are fluid-filled sacs that can develop in various tissues, including the breast. These cysts can be painless and may fluctuate in size, particularly in relation to the menstrual cycle.

While many of these conditions are benign, it is essential to monitor any changes in the size, shape, or texture of the nodule. If the lump becomes painful, changes in appearance, or if you notice any other concerning symptoms such as changes in the breast skin, discharge from the nipple, or swelling in the surrounding area, it is crucial to seek medical advice.
In general, it is advisable to consult a healthcare provider if you have any concerns about changes in your body, especially in sensitive areas like the breast. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound, to further evaluate the nodule.
Additionally, if you have a family history of breast cancer or other breast-related conditions, it is prudent to be more vigilant and proactive about any changes you notice. Regular self-examinations and routine check-ups with a healthcare provider are important for maintaining breast health and catching any potential issues early.

In summary, while the small, hard lump you described may be a benign condition, it is always best to err on the side of caution. If you have any doubts or if the nodule changes in any way, do not hesitate to reach out to a healthcare professional for further evaluation and peace of mind. Regular monitoring and open communication with your healthcare provider are key components of maintaining your overall health.

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