Hard Lumps on the Nipple: Causes and When to See a Doctor - Surgery

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When it comes to hard lumps on the nipple, particularly those that have been present for a while and are now causing pain and itching, it is essential to approach the situation with caution and seek appropriate medical advice. The symptoms you describe could be indicative of several conditions, ranging from benign to more serious issues.

One common cause of hard lumps on the nipple is a condition known as a sebaceous cyst. These cysts can occur when the sebaceous glands become blocked, leading to the formation of a lump filled with fluid or semi-solid material. They are generally harmless but can become painful or infected, leading to discomfort and the symptoms you are experiencing.

Another possibility is a condition called mammary duct ectasia, which occurs when a milk duct beneath the nipple dilates, fills with fluid, and thickens. This can lead to the formation of a lump and may cause pain, itching, and discharge. This condition is more common in women who are approaching menopause.

In some cases, the lump could be a sign of an infection, such as a breast abscess, which is a collection of pus that can develop in the breast tissue. This condition often requires medical treatment, including antibiotics or drainage.

While the above conditions are relatively common, it is crucial to consider the possibility of more serious issues, such as breast cancer. Although breast cancer lumps are often painless, any new or changing lump in the breast or nipple area should be evaluated by a healthcare professional.

Given your symptoms of pain, itching, and the change in size of the lump, it is advisable to seek medical attention promptly. You should consider scheduling an appointment with a breast specialist or a general surgeon who has experience in breast health. They can perform a thorough examination, which may include imaging tests such as a mammogram or ultrasound, to determine the nature of the lump.

In summary, here are the steps you should take:
1. Consult a Specialist: Make an appointment with a breast surgeon or a specialist in breast health. They will have the expertise to evaluate your symptoms and provide a proper diagnosis.

2. Prepare for Your Visit: Bring any relevant medical history, including when you first noticed the lump, any changes in size or symptoms, and any other breast-related issues you may have experienced.

3. Follow-Up Tests: Be prepared for the possibility of imaging tests or a biopsy if the doctor deems it necessary. These tests can help rule out serious conditions and provide peace of mind.

4. Monitor Symptoms: Keep track of any changes in the lump, including size, pain level, or any new symptoms that may arise. This information can be valuable for your healthcare provider.

In conclusion, while many lumps on the nipple can be benign, it is essential to take any changes seriously, especially when accompanied by pain or discomfort. Seeking timely medical advice is the best course of action to ensure your health and peace of mind.