Painful Hard Lumps on the Nipple: Causes and Concerns - Breast and Thyroid

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There is a lump in the nipple?


I have a hard lump on my nipple that does not move.
It hurts when touched or pressed, and it has been persistent for three weeks.
What could this possibly be?

Ke Ke, 10~19 year old female. Ask Date: 2007/10/04

Dr. Wu Jingtang reply Breast and Thyroid


Dear Keke: Based on your description, gynecomastia is more likely.
You may observe it for now, but if you continue to feel discomfort, please visit a breast surgeon.
Wishing you health and safety.
Sincerely, Dr.
Wu Ching-Tang, Department of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2007/10/04

More Info


When it comes to the presence of a painful hard lump on the nipple, there are several potential causes that should be considered. It's important to approach this issue with caution and seek medical advice, especially since you have been experiencing this symptom for three weeks. Here are some possible explanations for your condition:
1. Fibrocystic Changes: This is a common condition in women, characterized by the presence of lumps or cysts in the breast tissue. These lumps can be painful, especially in relation to your menstrual cycle. Fibrocystic changes are usually benign, but they can cause discomfort.

2. Intraductal Papilloma: This is a small, benign tumor that forms in the ducts of the breast. It can cause a lump and may be associated with nipple discharge. Pain can occur if the papilloma is irritated or inflamed.

3. Breast Abscess: An abscess is a localized infection that can lead to the formation of a painful lump. This condition is often accompanied by redness, warmth, and swelling in the surrounding area. If you have any signs of infection, such as fever or chills, it is crucial to seek medical attention immediately.

4. Mastitis: This is an infection of the breast tissue that can occur in breastfeeding women but can also affect others. It can cause pain, swelling, and redness, and may lead to the formation of a lump.

5. Breast Cancer: While less common, a hard lump that is painful and persistent should be evaluated for the possibility of breast cancer. Early detection is key, and any new or unusual changes in the breast should be assessed by a healthcare professional.

6. Hormonal Changes: Hormonal fluctuations, particularly those related to the menstrual cycle, can lead to breast tenderness and the formation of lumps. These changes can be temporary and may resolve on their own.

Given that you have been experiencing this lump for three weeks, it is advisable to consult with a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as a mammogram or ultrasound, to assess the lump further. A physical examination will also help determine the nature of the lump and whether any additional tests, such as a biopsy, are necessary.

In the meantime, it is essential to monitor any changes in the lump, such as changes in size, shape, or associated symptoms like discharge or skin changes. Avoid manipulating the lump, as this may exacerbate any underlying issues.

In summary, while there are several benign conditions that could explain the painful hard lump on your nipple, it is crucial to seek medical advice to rule out any serious conditions, including breast cancer. Early diagnosis and treatment can significantly improve outcomes and alleviate concerns.

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