Accessory Breasts: Pain, Surgery, and Concerns

Q: Accessory Breasts: Pain, Surgery, and Concerns

Hello, Ms. <br>Shin： If the lump in your right armpit changes in a manner similar to that of your breast during your menstrual cycle, it is likely a supernumerary breast tissue, which is a congenital ectopic remnant of breast tissue and is considered a benign lesion. <br>If it is

Accessory breast tissue

I would like to ask the doctor about a hard lump in my armpit that is painful to touch and has been present for many years.
Initially, when I consulted a doctor, it was diagnosed as folliculitis, but there was no external injury or redness.
Recently, it has started to hurt again, particularly in relation to my menstrual cycle; it tends to be more painful before my period starts and improves afterward, although the pain persists.
Today, I saw a doctor who suggested it might be accessory breast tissue, explaining that since my glandular tissue extends into the armpit, it could cause pain before menstruation.
I was prescribed painkillers, and the doctor mentioned that surgical removal is an option.
However, the pain only occurs in my right armpit, and I do not experience any issues on the left side, which makes me question whether it is indeed accessory breast tissue.
Additionally, relying on painkillers is not a long-term solution.
I would like to ask the doctor if that hard lump could grow larger and if there are any risks associated with surgery.
Thank you for taking the time to respond, doctor.

shin, 20~29 year old female. Ask Date: 2001/06/13

Dr. Li Junde reply Surgery

Hello, Ms.
Shin: If the lump in your right armpit changes in a manner similar to that of your breast during your menstrual cycle, it is likely a supernumerary breast tissue, which is a congenital ectopic remnant of breast tissue and is considered a benign lesion.
If it is not causing significant discomfort, it can be monitored without intervention.
If discomfort arises, symptomatic treatment may be sufficient.
While monitoring, if there is any unusual growth, breast tumor should be suspected.
If necessary, please consult a physician for confirmation and possible excision for pathological examination.
Typically, a biopsy can be performed under local anesthesia, and the risk is extremely low.

Reply Date: 2001/06/13

More Info

Understanding accessory breasts, or supernumerary breasts, is crucial for addressing the concerns you have regarding the hard lump in your armpit. Accessory breasts can develop along the milk line, which extends from the armpits to the groin, and they may contain glandular tissue similar to that found in typical breast tissue. This condition can lead to discomfort, particularly in relation to hormonal changes during the menstrual cycle, as you have experienced.

The pain you describe, particularly its correlation with your menstrual cycle, suggests that hormonal fluctuations may be influencing the sensitivity of the accessory breast tissue. This is not uncommon, as breast tissue is sensitive to hormonal changes, which can cause swelling and tenderness. The lump you feel could be a combination of glandular tissue and possibly some fibrous or cystic changes, which may explain the pain and discomfort.

Regarding your concerns about the lump potentially growing larger, it is possible for accessory breast tissue to change in size due to hormonal influences, particularly during the menstrual cycle. However, if the lump has remained stable in size over the years, it may not necessarily indicate a significant risk of growth. Nonetheless, any changes in size, shape, or pain should be evaluated by a healthcare professional.

As for the surgical option, it is important to weigh the benefits and risks. Surgical removal of accessory breast tissue can alleviate pain and discomfort, especially if it is recurrent and affecting your quality of life. However, like any surgical procedure, it carries risks such as infection, scarring, and complications related to anesthesia. It is essential to discuss these risks with your surgeon, who can provide you with a detailed understanding of what to expect during and after the procedure.

If you choose to pursue surgery, ensure that you have a thorough discussion with your healthcare provider about your symptoms, the nature of the lump, and the potential outcomes of surgery. They may recommend imaging studies, such as an ultrasound, to better characterize the lump and rule out other conditions, such as cysts or tumors.

In the meantime, if you find that over-the-counter pain relief is insufficient, you might want to explore other pain management strategies. These could include applying warm compresses to the area, practicing relaxation techniques, or considering dietary adjustments that may help manage hormonal fluctuations.

In summary, while accessory breasts can cause discomfort, particularly in relation to hormonal changes, surgical intervention is an option if the pain is significant and persistent. It is crucial to have open communication with your healthcare provider to determine the best course of action tailored to your specific situation. Regular monitoring and follow-up appointments can also help ensure that any changes in your condition are addressed promptly.

Similar Q&A

Understanding Accessory Breast Surgery: Costs, Risks, and Recovery

Dear Doctor: Is the surgical removal of congenital supernumerary nipples (small spots with skin color resembling nipples) covered by insurance or is it out-of-pocket? After the removal of supernumerary nipples, will they reappear, or is it a permanent solution? How long does the ...

Dr. Lai Jihong reply Surgery
Humans, like other mammals, typically have an even number of mammary glands. Generally, humans have two mammary glands; however, some individuals may retain remnants of mammary tissue in other areas, which we commonly refer to as accessory breasts. Accessory breasts usually devel...

Can I Remove Accessory Breasts After Breastfeeding?

Hello Dr. Chou, after I gave birth, I developed an accessory breast tissue under my armpit due to breastfeeding. It is painful when pressed and looks unsightly when I wear clothes. I'm very troubled by it and would like to know if it can be surgically removed. Thank you.

Dr. Zhou Hongzhang reply Plastic Surgery
Accessory breasts may become more prominent due to hormonal changes during pregnancy, childbirth, or puberty. They can sometimes feel swollen or painful due to lactation or the menstrual cycle. Accessory breasts can be surgically removed, and a consultation can be done at an outp...

Understanding Painful Accessory Breast Lumps: When to Seek Removal

Hello Doctor: I have felt a small lump in the area of my right axillary tail. It hurts when I touch it, and I also experience sharp pain in my right armpit. I previously had an ultrasound examination, and the doctor said it was nothing to worry about since it measures only 0.7-0....

Dr. Lin Kecheng reply Surgery
Hello PUKA, the so-called accessory breast is located in the axillary region and typically only causes pain before or during menstruation due to female hormones. You may want to consult a physician to confirm the diagnosis and check for other possible causes. Usually, accessory b...

Understanding Accessory Breasts: Surgical Options and Considerations

Hello, doctor. I had some accessory breast tissue before pregnancy, but its size did not affect my appearance, and I could still wear sleeveless tops normally. However, after giving birth, the accessory breast tissue has enlarged significantly and is now very prominent, making me...

Dr. Li Zhonghuai reply Surgery
Hello! Please schedule an appointment at your convenience. Generally, I will use National Health Insurance. Wishing you well! Changhua Hospital cares about you!