Small Growths on the Nipple: Causes and Concerns

There are granulations on the nipple?

Doctor, I have inverted nipples, and when I try to push them out, I notice that the center of the nipple (that's what it's called, right?) has small, raised lesions.
I remember feeling them a long time ago, but they are not painful or itchy, and there is no discharge.
I have never had sexual intercourse; could this be a virus? I feel like my nipple looks a bit cracked when pushed out, but there are small raised lesions on it.
Recently, I googled some images of warts and became worried that this might be some kind of virus since my nipples have been inverted for a long time, and I wouldn't pay much attention to them otherwise.
At my age, should I get any tests done? What should a normal nipple look like?

Xiao Yuan, 30~39 year old female. Ask Date: 2022/07/28

Dr. Yuan Tianmin reply Breast and Thyroid

I recommend that you visit a breast specialist for a thorough examination to determine if surgical intervention is necessary.

Reply Date: 2022/07/28

More Info

Understanding small growths on the nipple can be concerning, especially when they appear unexpectedly. Based on your description, it seems you have noticed small, fleshy bumps on your nipple that have been present for a long time without causing pain or discharge. It’s important to approach this situation with a clear understanding of what these growths could be and when to seek medical advice.

Firstly, the small growths you are describing could be a variety of benign conditions. One common possibility is a condition known as Montgomery glands, which are sebaceous glands located on the areola (the pigmented area surrounding the nipple). These glands can sometimes become more prominent or appear as small bumps, especially during hormonal changes such as puberty or menstruation. They are completely normal and serve to lubricate the nipple during breastfeeding.

Another possibility is papillomas, which are small, benign tumors that can occur in the ducts of the nipple. These can sometimes present as small growths and are usually harmless. However, they can occasionally cause discharge or changes in the nipple, so it’s important to monitor any changes.

You mentioned that your nipple appears cracked and that you have concerns about the possibility of a viral infection, such as warts (which are caused by the human papillomavirus, or HPV). While HPV can cause warts in various parts of the body, including the genital area, it is less common for it to manifest as growths on the nipple unless there has been direct contact with the virus. Given that you have not engaged in sexual activity, the likelihood of this being a sexually transmitted infection is low. However, if you have concerns about HPV or other infections, it is always best to consult with a healthcare provider.

In terms of what to do next, if the growths are not causing you any discomfort and have not changed significantly over time, they may not require immediate attention. However, it is advisable to schedule a visit with a healthcare professional, such as a dermatologist or a gynecologist, for a thorough examination. They can provide a definitive diagnosis and determine if any further tests, such as a biopsy, are necessary.

During your appointment, be prepared to discuss your symptoms in detail, including how long you have noticed the growths, any changes in size or appearance, and any other symptoms you may have experienced. This information will help your doctor assess the situation more accurately.

In summary, while small growths on the nipple can be concerning, many are benign and not indicative of a serious condition. However, it is always prudent to seek medical advice to ensure peace of mind and proper care. Regular self-examinations and awareness of any changes in your body are important for maintaining breast health. If you notice any new symptoms, such as pain, discharge, or significant changes in the appearance of your nipple or breast, do not hesitate to seek medical attention.

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