and Identifying Normal Nipple Granulomas: What You Need to Know

Nipple granuloma

There is a small bump on the right nipple, approximately 1mm in diameter and height, which is similar in color to the nipple but turns slightly white when pinched at the top.
It feels soft, can change shape, and can be flattened but cannot be squeezed to rupture.
It generally feels a bit itchy, and there is no discharge.
Is this normal?

Niming, 10~19 year old female. Ask Date: 2021/03/29

Dr. Yuan Tianmin reply Breast and Thyroid

If what you described does not seem very significant, but you still have concerns, you can consult a professional physician for further evaluation.

Reply Date: 2021/03/29

More Info

Understanding and identifying normal nipple granulomas is essential for anyone experiencing changes in their breast tissue, particularly around the nipple area. Based on your description, the small, soft, and slightly elevated bump on your right nipple, which changes color when pressed and is somewhat itchy but without any discharge, could potentially be a normal nipple granuloma.
Nipple granulomas are benign growths that can occur due to various reasons, including irritation, trauma, or infection. They are typically characterized by their soft texture, and they may appear red or pinkish, similar to the surrounding skin. The fact that your bump is about 1mm in diameter and can change shape when pressed is consistent with the behavior of a granuloma.
However, it is important to note that while nipple granulomas are generally harmless, any new or unusual growths on the breast should be evaluated by a healthcare professional. This is particularly true if there are changes in size, color, or if new symptoms develop, such as pain or discharge.
In terms of normalcy, the absence of discharge and the presence of mild itching could suggest that the granuloma is not infected. However, persistent itching or any changes in the characteristics of the bump should prompt a visit to a healthcare provider. They may perform a physical examination and, if necessary, imaging studies or a biopsy to rule out other conditions, including infections or more serious issues like breast cancer.

It is also worth mentioning that nipple granulomas can sometimes be mistaken for other conditions, such as seborrheic keratosis, cysts, or even more serious lesions. Therefore, a thorough evaluation is crucial.
In summary, while your description aligns with what could be a normal nipple granuloma, it is essential to consult with a healthcare provider for an accurate diagnosis. They can provide reassurance and, if needed, recommend treatment options, which may include topical medications or, in some cases, surgical removal if the granuloma is bothersome or does not resolve on its own. Regular self-examinations and awareness of any changes in your breast tissue are vital components of breast health.

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