White Bumps on the Areola: Causes and When to Seek Help

Areola?

I have a white bump on my areola that looks like a pimple.
It doesn't hurt, and when I squeeze it, a thick white discharge comes out.
It has been there for a long time! Could it be a blocked milk duct? Should I see a doctor?

Lemon, 10~19 year old female. Ask Date: 2008/04/18

Dr. Zhuang Zhijian reply Obstetrics and Gynecology

Hello, thank you for your inquiry.
I would like to respond to your question and provide the following recommendation: I suggest that you go directly to a gynecologist or a breast surgeon for further examination.
Wishing you safety and happiness!

Reply Date: 2008/04/18

More Info

The presence of white bumps on the areola can be concerning, but it is important to understand the potential causes and when to seek medical attention. The white bumps you are describing could be several things, including Montgomery glands, sebaceous cysts, or even a blocked milk duct.
1. Montgomery Glands: These are small sebaceous glands located on the areola. They are normal anatomical structures that can appear as small, raised bumps. They secrete an oily substance that helps to lubricate and protect the nipple and areola, especially during breastfeeding. If the bump you are seeing is painless and has been present for a long time, it could very well be a Montgomery gland.

2. Sebaceous Cysts: These are non-cancerous lumps beneath the skin that can occur anywhere on the body, including the breast area. They are usually filled with a thick, yellowish substance and can sometimes be expressed, similar to what you described. Sebaceous cysts are generally harmless but can become infected or inflamed.

3. Blocked Milk Duct: If you are breastfeeding or have recently breastfed, a blocked milk duct could cause a lump that may be painful or tender. However, if the bump is not painful and has been present for a long time, it is less likely to be a blocked duct.

4. Other Conditions: While less common, other conditions such as infections, inflammatory breast disease, or even benign tumors can present as lumps or bumps in the breast area.

When to Seek Help
You should consider seeking medical advice if:
- The bump changes in size, shape, or color.

- You experience pain, redness, or swelling in the area.

- There is any discharge that is not typical (especially if it is bloody or has an unusual odor).

- You notice any other unusual symptoms, such as changes in breast shape or texture, or if you feel any new lumps in the breast tissue.

Conclusion
Given that the bump has been present for a long time and is not causing you pain, it may not be an immediate cause for concern. However, it is always best to consult with a healthcare provider for an accurate diagnosis. They may perform a physical examination and, if necessary, imaging studies such as an ultrasound to ensure that the bump is benign. It is essential to prioritize your health and peace of mind, so do not hesitate to reach out to a medical professional for further evaluation.

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