Hard Lumps Around the Areola: When to Seek Medical Advice

Small hard lump on the areola?

Recently, I noticed a small hard lump the size of a mung bean on the edge of my areola.
The area was somewhat painful before, and I discovered it was pus-filled.
I managed to squeeze out the pus and blood, then disinfected and applied medication.
Today, about two weeks later, I suddenly noticed that the area feels a bit hard to the touch.
I'm not sure if this is because the wound inside has healed and changed, or if something else has developed.
When I gently squeeze it, nothing comes out.
What could this be? Should I see a gynecologist or a breast surgeon for an examination?

Yú lín, 30~39 year old female. Ask Date: 2020/08/29

Dr. Yuan Tianmin reply Breast and Thyroid

Although it is not a serious issue, it is still advisable to visit a breast surgery clinic for an examination.

Reply Date: 2020/08/29

More Info

When it comes to hard lumps around the areola, particularly after experiencing pain and pus, it’s essential to approach the situation with caution. The symptoms you describe could be indicative of several conditions, and understanding when to seek medical advice is crucial for your health.

The hard lump you’ve noticed could be a few different things. One possibility is that it is a sebaceous cyst, which occurs when a hair follicle becomes blocked. These cysts can sometimes become inflamed or infected, leading to pain and pus formation. After you drained the pus, the area may have healed, but the lump could remain due to the cyst wall still being present.
Another possibility is that the lump is a result of a localized infection, such as mastitis, which is an infection of the breast tissue that can occur in both breastfeeding and non-breastfeeding women. Mastitis can cause swelling, redness, and pain, and if not treated, it can lead to the formation of an abscess, which may require further medical intervention.

Additionally, the lump could be a benign growth, such as a fibroadenoma or a lipoma. Fibroadenomas are solid, non-cancerous tumors that can occur in breast tissue, while lipomas are fatty tumors that can develop in various parts of the body, including the breast area.

Given that you have already experienced pain and pus, and now have a hard lump that has persisted for two weeks, it is advisable to seek medical attention. A healthcare provider, particularly a gynecologist or a breast surgeon, can perform a thorough examination and may recommend imaging studies, such as an ultrasound, to better understand the nature of the lump.
In general, you should seek medical advice if:
1. The lump persists for more than a few weeks.

2. You experience increasing pain or discomfort.

3. There are changes in the size or shape of the lump.

4. You notice any unusual discharge from the nipple.

5. You have any systemic symptoms, such as fever or chills.

It’s important to remember that while many breast lumps are benign, any new or unusual changes in breast tissue should be evaluated by a healthcare professional to rule out any serious conditions, including breast cancer. Early detection and diagnosis are key to effective treatment, should it be necessary.

In conclusion, while it’s possible that the hard lump around your areola is benign, given your history of pain and pus, it is prudent to consult with a healthcare provider. They can provide a proper diagnosis and recommend the best course of action, ensuring your peace of mind and health.

Similar Q&A

Understanding Small Hard Lumps Around the Areola: When to See a Doctor

Hello Doctor: After my period, I noticed a small hard lump on the edge of my areola. I just discovered it and it hurts a bit when I press on it, but the pain goes away the next day. I would like to ask about the possible causes of this symptom and whether I need to see a doctor. ...

Dr. Yuan Tianmin reply Breast and Thyroid
These small protrusions are openings of the glands in the areola, which can sometimes become more prominent; there is no need to worry about them.

Understanding Hard Lumps Around the Areola: Causes and Concerns

Hello Doctor: Yesterday I noticed a hard lump about 2-3 cm in size under the right nipple, but there is nothing on the left side, and it is not painful. I usually don't perform self-examinations, so I didn't notice when it appeared. What could be the cause? Could it be ...

Dr. Wu Jingtang reply Breast and Thyroid
Dear Miss Anette: Based on your description, it is likely a fibroadenoma; however, since it is already 2-3 cm, you should visit a breast surgery clinic for further evaluation. Wishing you good health. Dr. Wu

Understanding Painful Lumps in the Areola: When to Seek Further Evaluation

If there is a hard lump in the areola that is painful when pressed, but a biopsy of the cells from the areola shows normal results, it may still be a benign condition such as a cyst or a fibroadenoma. However, if the lump has not resolved or if you have ongoing concerns, it is ad...

Dr. Wu Jingtang reply Breast and Thyroid
No content.

Understanding Hard Lumps Around the Areola: Causes and Solutions

I recently discovered a hard lump on the right areola. What should I pay attention to and how can I improve this?

Dr. Yu Mingchang reply Surgery
Hello: There is a higher possibility regarding the areola. Please take some time to check with the General Surgery Department at Changhua Hospital, Ministry of Health and Welfare. We care about you.