Breast Inflammation and Hard Lumps: Causes and Concerns

Nipple lump and inflammation?

Hello, I do not smoke or drink alcohol, and there is no family history of breast issues.
On the evening of August 28, I experienced inflammation in my right breast, which suddenly became swollen.
It is painful when pressed, and there is a hard lump in the areola.
I sought medical attention on August 30, where an ultrasound revealed a lump.
A fine needle aspiration was performed, and I was told to wait for the report to see if there were any issues.
The doctor mentioned that this should primarily be inflammation, so I was prescribed antibiotics for a week, along with anti-inflammatory medication, pain relief, and B vitamins.
After a week of treatment, the swelling had mostly subsided, leaving only the hard lump in the areola.

When I returned a week later to review the report, it was indicated that no malignant cells were obtained.
Since I was seen by a different doctor, he examined the lump in my areola and noted that it was quite hard.
He mentioned that the likelihood of it resolving on its own is low and that if it does resolve, it may take a long time.
He suggested that if it significantly interferes with my daily life, I could consider surgical removal, referring to it as a "subcutaneous tumor."
Prior to the breast swelling, on August 10, I had visited a dermatologist and was on antibiotics for a week.
Additionally, I personally use CRYSTALPURE long-lasting deodorant stone once a day, which I have been using for about a year, but I stopped using it in April.
The ingredients include Natural Mineral Salts and Ammonium Alum.
Could this be related to issues with my axillary lymph nodes or breast? Based on my description, what is the most likely nature of the hard lump in my chest? What is the likelihood of it resolving? Thank you.

Harris, 20~29 year old female. Ask Date: 2021/09/26

Dr. Yuan Tianmin reply Breast and Thyroid

Conditions similar to gynecomastia can indeed be addressed through surgical intervention if they cause significant distress.
It is important to evaluate whether the products that Chuyu is currently using are related to this issue.
If their use is not deemed necessary, it is advisable to avoid using such questionable substances.

Reply Date: 2021/09/26

More Info

Based on your detailed description, it seems that you are experiencing a complex situation involving breast inflammation and the presence of a hard lump in the area of your areola. The symptoms you have described, including sudden swelling, pain upon pressure, and the presence of a hard lump, suggest a possible case of breast inflammation, which can be due to various causes, including infections, cysts, or benign tumors.

Understanding Breast Inflammation and Hard Lumps
1. Possible Causes of Inflammation:
- Infections: Bacterial infections can lead to mastitis, which is an inflammation of breast tissue that can result in swelling, pain, and sometimes the formation of abscesses. This is more common in breastfeeding women but can occur in others as well.

- Cysts or Fibroadenomas: These are benign lumps that can form in the breast tissue. Cysts are fluid-filled sacs, while fibroadenomas are solid lumps made of glandular and connective tissue. Both can cause discomfort and may feel hard to the touch.

- Hormonal Changes: Fluctuations in hormones, particularly around menstrual cycles, can lead to breast tenderness and lumpiness.

2. Your Recent Medical Evaluation:
- The ultrasound and fine needle aspiration (FNA) you underwent were appropriate steps to assess the nature of the lump. The fact that no malignant cells were found is reassuring. The hard lump you mentioned could be a residual effect of the inflammation or a benign growth.

- The treatment with antibiotics suggests that your doctor suspected an infectious process, which seems to have improved your symptoms significantly.

3. The Hard Lump:
- The persistence of the hard lump after the inflammation has subsided is not uncommon. Sometimes, the body can take time to resolve the residual effects of inflammation, and the lump may gradually decrease in size.

- If the lump is indeed a benign tumor or a fibrous tissue response to the inflammation, it may not resolve completely on its own. The likelihood of it disappearing depends on its nature and the body’s healing response.

4. Surgical Considerations:
- Your doctor mentioned the possibility of surgical removal if the lump continues to cause discomfort or if it interferes with your daily life. This is a common approach for lumps that are persistent and bothersome, especially if they are not resolving with conservative management.

5. Concerns About Deodorant Use:
- Regarding your use of CRYSTALPURE deodorant, the ingredients you mentioned (natural mineral salts and ammonium alum) are generally considered safe for most individuals. However, if you have sensitive skin or an allergic reaction to any component, it could potentially lead to localized irritation or inflammation. There is no strong evidence linking these ingredients to breast or lymphatic issues.

Conclusion
In summary, the hard lump in your breast is likely a benign condition, possibly related to previous inflammation. While the chance of it resolving on its own exists, it may take time. If it remains bothersome, surgical removal could be a viable option. It is essential to maintain regular follow-ups with your healthcare provider to monitor the lump and address any changes in symptoms. If you experience new symptoms, such as increased pain, changes in the lump's size, or any unusual discharge, you should seek medical attention promptly. Always feel free to discuss any concerns you have with your doctor, as they can provide personalized advice based on your medical history and current condition.

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