Breast Nodules: When to Seek Further Evaluation

Lump

Your question: I have a hard lump in the area of the areola that is a bit painful when pressed.
I went to the hospital for a biopsy of the cells in the areola, and everything came back normal, but it still hasn't disappeared.
What could this be? Is it necessary to go to another hospital for further examination? Thank you!
Response from Dr.
Wu Ching-Tang, Breast Endocrinology Specialist: Dear Mr.
Qingqing: You have a hard lump in the area of the areola that is a bit painful when pressed.
In males, this is most commonly due to gynecomastia, which is a benign condition that typically only requires observation.
Since you have already undergone a biopsy and the results are normal, you can be reassured.
If it still hasn't resolved, there is generally no need for excessive concern.

Now, if it were a female, what could be the cause of this sudden change? I apologize for the trouble!

Qingqing, 20~29 year old female. Ask Date: 2005/06/03

Dr. Wu Jingtang reply Breast and Thyroid

No content.

Reply Date: 2005/06/03

More Info

When it comes to breast nodules, especially in the context of a hard lump in the areola that is tender to the touch, it is essential to approach the situation with a clear understanding of the potential causes and the appropriate steps for evaluation. In your case, since you have already undergone a fine needle aspiration (FNA) of the nodule and received normal results, this is a positive indicator. However, the persistence of the lump can understandably cause concern.

In women, a hard lump in the breast can arise from various conditions, ranging from benign to malignant. Common benign causes include fibroadenomas, cysts, and conditions like mastitis or duct ectasia. In some cases, hormonal changes can lead to the development of lumps that may be tender, especially around the menstrual cycle. It is also worth noting that breast tissue can be quite sensitive, and tenderness does not necessarily indicate malignancy.

Given that the FNA results were normal, it suggests that there are no cancerous cells present. However, if the lump has not resolved or continues to cause discomfort, further evaluation may be warranted. This could involve imaging studies such as a breast ultrasound or mammogram, which can provide additional information about the characteristics of the lump and help rule out any underlying issues that may not have been detected during the FNA.

For women, the sudden appearance of a lump can be alarming, and it is crucial to monitor any changes in size, shape, or associated symptoms such as pain or discharge. If the lump persists or if you notice any new changes, it is advisable to consult with a healthcare provider for a thorough evaluation. They may recommend additional imaging or even a biopsy if there are any concerns about the nature of the lump.

In summary, while the normal FNA results are reassuring, the persistence of the lump warrants further investigation. It is always better to err on the side of caution when it comes to breast health. If you have any concerns or if the lump continues to be a source of discomfort, seeking a second opinion or further evaluation at a different facility can provide peace of mind and ensure that you receive the appropriate care. Regular self-examinations and routine screenings are also essential components of breast health, allowing for early detection of any changes that may require attention.

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