Hard Lumps Near the Areola: What You Need to Know - Breast and Thyroid

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Hard lump on the areola?


Hello doctor, I discovered a lump on the right areola (next to the nipple) three days ago.
It doesn't hurt when I press it, and it's not very noticeable when viewed from the front, but the surface has some peeling.
What could this be a symptom of? I'm a bit worried but I'm not sure which specialist to see.
Thank you for your response!

IDA, 20~29 year old female. Ask Date: 2022/09/01

Dr. Yuan Tianmin reply Breast and Thyroid


There are many gland openings on the areola, so it is possible that the hard lump you feel is simply due to inflammation of these openings.
If you are concerned, it is advisable to visit a breast specialist for an examination.

Reply Date: 2022/09/01

More Info


When you notice a hard lump near the areola, it can understandably cause concern. Based on your description, there are several potential causes for this lump, and it is essential to approach the situation with a clear understanding of the possibilities.

One common cause of a lump in the breast area, especially near the areola, is a benign condition known as a fibroadenoma. Fibroadenomas are solid, non-cancerous tumors that are often found in young women. They are usually painless and can feel firm or rubbery. However, they can also appear as a hard lump, and changes in the skin, such as peeling, may occur.

Another possibility is a cyst, which is a fluid-filled sac that can develop in the breast tissue. Cysts can vary in size and may feel like a lump. They are typically benign and can sometimes resolve on their own. If the cyst is large or causing discomfort, it may require drainage.

In some cases, the lump could be related to a condition known as mammary duct ectasia, where a milk duct beneath the nipple dilates, fills with fluid, and thickens. This can lead to the formation of a lump and may be accompanied by changes in the skin around the nipple, including peeling or irritation.

In rare instances, a lump near the areola could indicate a more serious condition, such as breast cancer. While the majority of breast lumps are benign, it is crucial to be vigilant, especially if there are accompanying symptoms such as changes in the shape or size of the breast, discharge from the nipple, or persistent pain.

Given your description of the lump being hard, non-painful, and with some peeling of the skin, it is advisable to consult a healthcare professional for a thorough evaluation. A visit to a primary care physician or a gynecologist would be appropriate. They may perform a clinical breast exam and, if necessary, order imaging studies such as a mammogram or ultrasound to assess the lump further.

In summary, while there are several benign explanations for a hard lump near the areola, it is essential to seek medical advice to rule out any serious conditions. Early evaluation and diagnosis are key to ensuring your health and peace of mind. If you notice any changes in the lump, such as increased size, pain, or changes in the skin, do not hesitate to seek medical attention promptly.

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