Breast Nodule: When to Seek Medical Attention - Breast and Thyroid

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Chest issues


A sudden lump on the right breast areola that feels like a pimple, with slight tenderness when pressed but not very painful, could be indicative of several conditions, such as a sebaceous cyst, folliculitis, or a benign breast condition.
It is advisable to monitor the lump for a few days.
If it does not improve, becomes more painful, or shows signs of infection (such as redness or discharge), it would be best to consult a healthcare provider.
You should consider seeing a primary care physician or a specialist in breast health, such as a breast surgeon or a gynecologist.
Thank you.

7, 20~29 year old female. Ask Date: 2022/08/30

Dr. Yuan Tianmin reply Breast and Thyroid


You can observe for a week, and if there are still no changes after a week, you can go to a breast specialty clinic for an examination.

Reply Date: 2022/08/30

More Info


When it comes to breast health, any sudden changes, such as a lump or swelling in the breast area, should be taken seriously. In your case, the sudden swelling of the right breast areola that feels like a pimple and is slightly tender upon pressure could be indicative of several conditions, some benign and others that may require further evaluation.

Firstly, it’s important to understand that breast tissue is sensitive and can react to various factors, including hormonal changes, infections, or even benign growths. The lump you are describing could potentially be a sebaceous cyst, which is a common and usually harmless condition. Sebaceous cysts occur when a hair follicle becomes blocked, leading to a buildup of sebum (the oily substance produced by sebaceous glands). They can feel like small lumps under the skin and may become tender if they become inflamed or infected.

Another possibility is a condition known as a fibroadenoma, which is a benign tumor made up of glandular and connective tissue. These are typically painless and can be felt as a firm, movable lump in the breast. However, they can sometimes cause discomfort or tenderness.

In some cases, the swelling could be related to an infection, such as mastitis, especially if there are accompanying symptoms like redness, warmth, or fever. Mastitis is more common in breastfeeding women but can occur in others as well.

Given that the lump is new and has changed in your breast, it is advisable to seek medical attention rather than simply observing it for a few days. While many breast lumps are benign, it is crucial to rule out any serious conditions, including breast cancer, especially if there are changes in the skin or if the lump persists.

You should consider scheduling an appointment with a healthcare provider who specializes in breast health, such as a breast surgeon or a gynecologist. They can perform a clinical breast examination and may recommend imaging studies, such as a mammogram or ultrasound, to further evaluate the lump. If necessary, they may also suggest a biopsy to determine the nature of the lump.

In summary, while the lump you are experiencing may be benign, it is essential to have it evaluated by a medical professional. Early detection and diagnosis are key in managing breast health effectively. If you notice any changes in the lump, such as increased size, pain, or changes in the skin over the area, do not hesitate to seek medical attention sooner. Your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to changes in breast tissue.

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