Hard Lumps Under the Areola: What Men Should Know

Hard lump beneath the areola?

I have noticed a hard lump about 1.5 cm in size located in the upper part of my right areola over the past couple of days.
It is slightly painful when pressed.
What could this be? I haven't paid attention to how long it has been there.
I am an adult male, and I recently read that men can also get breast cancer.
Should I seek immediate evaluation? Which department should I consult, and what tests should I undergo? I just completed a 24-hour health check, including a chest X-ray, but no abnormalities were reported.
Thank you.

mike, 40~49 year old female. Ask Date: 2006/06/13

Dr. Li Guoding reply Surgery

Dear Dr.
Li Guoding, Department of Surgery, Tainan Hospital, Ministry of Health and Welfare:
1) A hard lump under the male breast is usually indicative of "gynecomastia."
2) Men can also develop breast cancer, although the incidence is very low.
3) A chest X-ray cannot be used for breast examination.
4) Please consult a breast surgeon for diagnosis and treatment at Tainan Hospital to ensure your health.

Reply Date: 2006/06/13

More Info

Finding a hard lump under the areola can be concerning, especially for men who may not be as familiar with breast health issues. In your case, the lump you described, approximately 1.5 cm in size and causing mild pain upon pressure, warrants further investigation. While it is true that breast cancer can occur in men, it is relatively rare compared to women. However, any new lump or change in the breast tissue should be evaluated by a healthcare professional to rule out serious conditions.

There are several potential causes for a hard lump in the breast area, including:
1. Gynecomastia: This is a benign enlargement of breast tissue in men, often due to hormonal changes. It can sometimes present as a firm lump under the nipple area.

2. Fibroadenoma: These are non-cancerous tumors that can occur in breast tissue and may feel like a firm lump.

3. Cysts: Fluid-filled sacs can develop in the breast tissue and may feel firm or tender.

4. Infections or Inflammatory Conditions: Conditions such as mastitis can cause lumps and tenderness in the breast area.

5. Breast Cancer: Although less common in men, it is still a possibility, especially if there are other risk factors present.

Given your symptoms and the fact that you have recently noticed this lump, it is advisable to seek further evaluation. You should consider scheduling an appointment with a healthcare provider who specializes in breast health, such as a general surgeon or an oncologist. They may recommend imaging studies, such as a breast ultrasound or a mammogram, to further assess the lump. In some cases, a biopsy may be necessary to determine the nature of the lump.

It is also important to communicate any additional symptoms you may have experienced, such as changes in the skin over the lump, discharge from the nipple, or any family history of breast cancer. These details can help your healthcare provider make a more accurate assessment.

In conclusion, while the lump you have found could be benign, it is essential to have it evaluated by a medical professional. Early detection and diagnosis are crucial in managing any potential health issues effectively. Do not hesitate to seek medical advice, as it is always better to err on the side of caution when it comes to your health.

Similar Q&A

Understanding Male Gynecomastia and Breast Health Concerns

Hello, doctor! Since I entered puberty, I have had hard lumps located directly beneath both areolas (measured when lying down), and they are still present now. After researching online, I suspect it might be gynecomastia, as it hasn't affected me much, so I haven't paid...

Dr. Yuan Tianmin reply Breast and Thyroid
First, let me correct your statement: cancer cannot be benign. Additionally, your condition may require a visit to a specialist for an ultrasound examination, as an external physical examination alone cannot definitively determine your condition.

Understanding Hard Lumps on the Areola: Causes and Concerns

As a male, I noticed a sharp pain in my areola while showering, similar to the pain of a pimple. I thought it was just a pimple and ignored it. Now, the pain has subsided, but there is a hard lump present. Will it go away on its own?

Dr. Li Zhonghuai reply Surgery
Hello! Sebaceous cysts can develop on the areola skin and subcutaneous tissue, and surgical removal is recommended. A deep-seated lump in the areola is often associated with gynecomastia in males; removal is advised if there are symptoms or cosmetic concerns. It is recommended to...

Understanding Male Nipple Lumps: Causes and Treatment Options

Dear Dr. Yuan, About a month ago, I discovered a hard lump under my left areola. It causes slight pain and a prickling sensation when pressed, and this has persisted until now. I am slightly overweight, so there is more tissue around my breasts, resembling a condition known as g...

Dr. Yuan Tianmin reply Breast and Thyroid
Based on the symptoms you described, it seems more like a case of gynecomastia. However, I recommend that you visit a specialist for a thorough examination.

Understanding a 2cm Lump Under the Areola: Causes and Solutions

When I was 14 years old, the left areola had a similar issue that resolved on its own, but it wasn't as large. Now, the right areola has developed a lump that is bigger than before. Is this gynecomastia? The lump is painful when I press on it, and after observing it for a mo...

Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to see a general surgeon. Most cases of gynecomastia are indeed in males, but other tumors must also be ruled out. Take care! Changhua Hospital is concerned about you!