Subareolar Cysts: Causes, Symptoms, and Treatment Options

Q: Subareolar Cysts: Causes, Symptoms, and Treatment Options

Hello： It is possible for sebaceous cysts to develop in the subcutaneous tissue of the areola, but don't worry too much; these are benign and can occur on both sides, not just "on the right side." Generally, concerns about appearance are more of an issue for men. <br>If the cyst

Subcutaneous cyst on the areola?

Can a sebaceous cyst develop under the areola? Or could it be something else? Is it possible that my hormones are causing swelling (since I have a lot of hair on my legs...)? I remember having one on the left areola, but now I've noticed it has appeared on the right side as well...
I'm a male, and it creates an unsightly bulge when I wear clothes.
The left side is still quite swollen, although not as large as the right side.
When I apply pressure to the right side, a clear, viscous fluid comes out.
What exactly is this? Is surgery necessary? Can medication help? I went to a small clinic, and they said it was a sebaceous cyst.
They also mentioned that the left one is unlikely to disappear (it should just get smaller, not completely disappear).
Thank you for your response.

Wenwen, 10~19 year old female. Ask Date: 2004/07/15

Dr. Wu Jingtang reply Breast and Thyroid

Hello: It is possible for sebaceous cysts to develop in the subcutaneous tissue of the areola, but don't worry too much; these are benign and can occur on both sides, not just "on the right side." Generally, concerns about appearance are more of an issue for men.
If the cyst is large, prominent, and you are quite concerned about it, surgery is the only method to make it disappear.
Additionally, based on your description, a cyst is also a possibility.
Relax and wish you good health.

Dr.
Wu

Reply Date: 2004/07/15

More Info

Subareolar cysts, often referred to as sebaceous cysts or epidermoid cysts, can occur in various areas of the body, including the subareolar region of the breast. These cysts are typically benign and can be caused by a variety of factors, including blocked sebaceous glands, hormonal changes, or skin trauma. In your case, the presence of cysts in the subareolar area, especially as a male, can be concerning and warrants further exploration.

Causes
1. Blocked Sebaceous Glands: The most common cause of subareolar cysts is the blockage of sebaceous glands, which can lead to the accumulation of sebum and keratin. This blockage can occur due to various reasons, including skin irritation or trauma.

2. Hormonal Changes: Hormonal fluctuations can also contribute to the development of cysts. In males, elevated levels of certain hormones, such as androgens, can lead to increased sebaceous gland activity, which may result in cyst formation.

3. Genetic Factors: Some individuals may have a genetic predisposition to developing cysts, which can occur in various locations on the body.

4. Skin Conditions: Conditions such as acne or other dermatological issues can also lead to the formation of cysts.

Symptoms
- Swelling: The most noticeable symptom is the swelling or lump under the skin, which can vary in size.

- Discharge: As you mentioned, the cyst may produce a clear, sticky fluid when squeezed. This is typical for sebaceous cysts.

- Pain or Discomfort: While many cysts are painless, they can become tender or painful if they become inflamed or infected.

Treatment Options
1. Observation: If the cyst is not causing any discomfort or cosmetic concerns, it may be monitored over time. Many cysts can remain stable and do not require intervention.

2. Medication: In some cases, if there is inflammation or infection, a healthcare provider may prescribe antibiotics or anti-inflammatory medications to reduce symptoms.

3. Surgical Removal: If the cyst is large, painful, or causing cosmetic concerns, surgical removal may be recommended. This procedure is typically straightforward and can be performed under local anesthesia. The cyst is excised along with its capsule to minimize the chance of recurrence.

4. Aspiration: In some cases, a healthcare provider may choose to aspirate the cyst, which involves using a needle to drain the fluid. However, this does not remove the cyst wall, and recurrence is common.

When to Seek Medical Attention
Given your symptoms and the fact that you have noticed changes in the cysts, it is advisable to consult a healthcare professional, preferably a dermatologist or a surgeon specializing in skin conditions. They can provide a thorough examination, confirm the diagnosis, and discuss the best treatment options tailored to your situation.

Conclusion
While subareolar cysts are generally benign, it is essential to monitor them, especially if they change in size or character. Hormonal imbalances can contribute to their development, but they are not solely caused by hormonal excess. Surgical intervention is often the most definitive treatment if the cysts are bothersome. Always consult with a healthcare professional for personalized advice and treatment options.

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