Persistent Bump on Areola After Inflammation: Should You Be Concerned?

After the inflammation and swelling of the small bump on the areola subsides, there is still a small lump remaining?

Hello, doctor.
About two weeks ago, I noticed a small bump with a tiny opening on my areola before my menstrual period.
I squeezed it with my hand and expelled some white substance.
The next day, it became inflamed and swollen, appearing red and painful to touch.
After a week, the inflammation subsided, but it hasn't returned to its original state; there is still a small bump present, and the opening is still slightly red, although it no longer hurts when pressed.
Should I be concerned about this?

Xin Xin, 30~39 year old female. Ask Date: 2023/02/11

Dr. Yuan Tianmin reply Breast and Thyroid

The area around the areola often has openings from some glands, and sometimes there can be minor inflammation that causes them to swell.
As long as the inflammation does not continue, there should be nothing to worry about.

Reply Date: 2023/02/11

More Info

When it comes to a persistent bump on the areola following inflammation, there are several factors to consider, and it’s essential to approach this with a comprehensive understanding of breast health and potential underlying issues.

Firstly, the bump you described could be a result of a blocked milk duct or a sebaceous cyst. The white substance you expelled when you squeezed the bump suggests that it could be a clogged gland, which is not uncommon. These glands can become blocked due to various reasons, including hormonal changes, skin conditions, or even minor trauma to the area. The inflammation and redness you experienced indicate that there was likely an infection or irritation at the site, which is a common response of the body to such blockages.

The fact that the bump has not completely resolved but has become less painful is a positive sign. It suggests that the acute inflammation may be subsiding. However, the persistence of the bump, especially if it remains red or tender, warrants further evaluation. While many bumps on the breast can be benign, it’s crucial to monitor any changes in size, shape, or color, as well as any new symptoms that may arise.

In terms of concern, it is essential to consider the following:
1. Duration and Changes: If the bump persists for more than a few weeks without improvement, or if it begins to grow, change in color, or become painful again, it is advisable to seek medical attention. Persistent changes in breast tissue can sometimes indicate more serious conditions, including infections or, in rare cases, breast cancer.

2. Self-Examination: Continue to perform regular self-examinations of your breasts. Look for any changes in the skin texture, shape of the breast, or any new lumps. If you notice any concerning changes, consult a healthcare provider.

3. Medical Evaluation: It would be prudent to schedule an appointment with a healthcare professional, such as a primary care physician or a breast specialist. They may perform a physical examination and, if necessary, imaging studies like an ultrasound or mammogram to assess the bump further.

4. Infection Risk: If the area remains red or if you notice any discharge, there may be a risk of infection. In such cases, a healthcare provider may prescribe antibiotics to prevent further complications.

5. Hormonal Factors: Since you mentioned that this occurred around the time of your menstrual cycle, hormonal fluctuations could also play a role in the development of breast lumps. Hormonal changes can lead to conditions such as fibrocystic breast changes, which are typically benign but can cause discomfort and lumpiness.

In summary, while the bump you are experiencing may not be immediately alarming, it is essential to monitor it closely and consult with a healthcare provider if it does not resolve or if you have any concerns. Early evaluation and intervention can help ensure that any potential issues are addressed promptly, providing peace of mind and maintaining breast health.

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