Small Growths on the Nipple: When to Seek Medical Advice

Nipple with small flesh-colored bumps?

Hello, doctor.
I have a small growth on my nipple, slightly smaller than the nipple itself.
It doesn't hurt when I press on it.
I would like to know if it needs to be removed, and if so, which specialty should I see? Additionally, I'm a bit concerned about whether it could be a pathological change.
If I need to seek medical attention, which department would be best to consult (Dermatology or Breast Surgery)? Thank you.

Miss Luo, 30~39 year old female. Ask Date: 2020/05/07

Dr. Yuan Tianmin reply Breast and Thyroid

If it is just a smooth small lump resembling a skin growth, it can be monitored or a minor excisional surgery can be performed.

Reply Date: 2020/05/07

More Info

When it comes to small growths on the nipple, it's essential to approach the situation with caution and seek appropriate medical advice. The growth you described, being slightly smaller than the nipple and not causing any discomfort upon pressure, could be a benign condition, but it's always wise to consult a healthcare professional for a proper evaluation.

When to Seek Medical Advice
1. Changes in Size or Shape: If the growth begins to change in size, shape, or color, or if it becomes painful, it is crucial to seek medical attention promptly.

2. Associated Symptoms: If you experience any unusual symptoms such as discharge from the nipple, changes in the surrounding skin, or any other concerning signs, these warrant a visit to a healthcare provider.

3. Duration: If the growth has been present for an extended period without any changes, it may be less concerning, but it is still advisable to have it evaluated to rule out any potential issues.

Which Specialist to Consult
For a growth on the nipple, you have a couple of options regarding which specialist to see:
- Dermatologist: A dermatologist specializes in skin conditions and can evaluate the growth on your nipple. They can determine if it is a benign skin lesion, such as a seborrheic keratosis or a benign cyst, and recommend treatment if necessary.

- Breast Surgeon or Breast Specialist: If there is any concern regarding the nature of the growth, particularly if there are symptoms suggestive of a more serious condition, a breast surgeon or a breast specialist would be appropriate. They can perform a thorough examination and, if needed, conduct imaging studies such as a mammogram or ultrasound to assess the growth further.

Diagnostic Approach
Upon visiting a specialist, they may perform the following:
- Physical Examination: A thorough examination of the growth and surrounding tissue.

- Imaging Studies: Depending on the initial assessment, imaging studies may be recommended to get a clearer picture of the growth.

- Biopsy: If there is any suspicion of malignancy or if the growth does not have typical benign characteristics, a biopsy may be performed to obtain a tissue sample for further analysis.

Treatment Options
If the growth is determined to be benign and not causing any symptoms, treatment may not be necessary. However, if it is bothersome or if there are concerns about its nature, removal may be recommended. This can typically be done in an outpatient setting, depending on the size and type of the growth.

Conclusion
In summary, while a small growth on the nipple may not be a cause for immediate concern, it is essential to monitor it and seek medical advice if there are any changes or associated symptoms. Consulting with a dermatologist or a breast specialist will provide you with the best course of action. They can offer reassurance, conduct necessary evaluations, and discuss potential treatment options if needed. Remember, early intervention is key in managing any health concerns effectively.

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