Painful Nipple Growth: Causes and Treatment Options - Surgery

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A small tumor on the nipple?


Dear Dr.
Tang,
A few months ago, I started experiencing pain in one nipple when it comes into contact with fabric or skin, particularly when it protrudes.
Recently, I noticed a small growth at the tip of the affected nipple, approximately the size of a pimple.
This small growth seems to be removable, but when I push or rub it, I feel sharp pain in the underlying tissue.
The color appears similar to the surrounding skin of the nipple, and it becomes red and engorged when the nipple is engorged as well, essentially mirroring the skin around the nipple.

When the nipple is not protruding, the growth is not particularly noticeable; however, when temperature changes or other factors cause the nipple to become erect, the growth becomes more prominent.
I can even observe what seems to be a scab-like white structure beneath the small growth.
Because the growth is not prominent when the nipple is not erect, it is difficult for a doctor to observe it during an examination.
Although I have taken a few photos, they are not very clear.
Each time my clothing or my arm rubs against it, I experience pain, which is quite bothersome.

I am wondering if there is a way to address this issue.
Could this potentially develop into a malignant tumor? I would appreciate your response, thank you!

Chen, 20~29 year old female. Ask Date: 2023/08/01

Dr. Tang Yuxiong reply Surgery


Hello Ms.
Chen: Based on your description, it is not possible to determine the actual issue.
It is recommended that you directly consult a breast surgery clinic to assess whether there is a need for ultrasound or biopsy to obtain further information.

Reply Date: 2023/08/01

More Info


Understanding painful nipple growth can be quite concerning, especially when accompanied by symptoms like sharp pain and the appearance of a small lump. Based on your description, it seems that you are experiencing localized pain in one nipple, along with the development of a small growth that resembles a pimple or a small bump. This situation can arise from several potential causes, and it’s essential to approach it with a comprehensive understanding.

Firstly, the growth you are describing could be a benign condition such as a sebaceous cyst, which is a small lump filled with keratin and can occur in various areas of the body, including the nipple. These cysts can become inflamed or infected, leading to pain and discomfort, particularly when they are irritated by clothing or friction. Another possibility is a condition known as a papilloma, which is a benign tumor that can develop in the ducts of the nipple and may cause pain and discharge.

In some cases, hormonal changes, particularly during puberty, menstruation, or pregnancy, can lead to increased sensitivity and changes in the breast tissue, which might explain the pain you are experiencing. Additionally, conditions like mastitis, which is an infection of the breast tissue, can also cause localized pain and swelling, although this is more common in breastfeeding women.

While the symptoms you describe do not immediately suggest a malignant condition, it is crucial to monitor any changes in the size, shape, or color of the growth, as well as any additional symptoms such as discharge or persistent pain. Malignant tumors in the breast can present with similar symptoms, but they are typically accompanied by other signs such as a hard, immovable lump, changes in the skin texture, or unusual discharge.

To address your concerns and alleviate the discomfort, here are some recommendations:
1. Avoid Irritation: Try to wear loose-fitting clothing that does not rub against the nipple area. Consider using soft, breathable fabrics to minimize friction.

2. Warm Compresses: Applying a warm compress to the affected area may help reduce pain and inflammation. This can promote blood flow and may assist in healing if there is any irritation or minor infection.

3. Topical Treatments: Over-the-counter topical analgesics or anti-inflammatory creams may provide temporary relief from pain. However, consult with a healthcare provider before applying any medication.

4. Observation: Keep an eye on the growth and any changes that occur. If it becomes larger, more painful, or if you notice any discharge, it is essential to seek medical advice.

5. Consult a Specialist: Given the nature of your symptoms, it would be prudent to consult a healthcare professional, preferably a dermatologist or a breast specialist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to better understand the growth and rule out any serious conditions.

6. Biopsy: If there is any suspicion of malignancy or if the growth does not resolve with conservative measures, a biopsy may be necessary to determine the nature of the lump.

In conclusion, while the symptoms you are experiencing are likely benign, it is essential to approach them with caution and seek professional evaluation. Early diagnosis and treatment can alleviate discomfort and address any underlying issues effectively. Remember, it’s always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas like the breasts.

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