Small Bumps Near the Nipple: What You Need to Know - Surgery

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Small protrusions on the breast?


Hello~~ I have some small bumps near my nipple (on the areola)~~ Some people say that there are normally small raised spots around the areola~~ but mine are located right next to the nipple~~ What could that be? Is it a tumor? Because it doesn't hurt or itch at all~~ I haven't paid much attention to it~~ Could you help me understand?

jist, 20~29 year old female. Ask Date: 2002/01/22

Dr. Wang Qichao reply Surgery


Based on your description, it seems to be normal.
If you are still concerned, you can observe it for a while to see if it becomes larger, harder, or has any abnormal discharge.
If it does increase in size, you should consult a specialist.
If there are no changes, you can feel reassured.
This response is provided by Dr.
Yang You-Hua, Department of Oncology.

Reply Date: 2002/01/22

More Info


When it comes to small bumps near the nipple, particularly around the areola, there are several potential explanations that can help clarify your concerns. First and foremost, it’s important to understand that the human body has various normal anatomical features, and the area around the nipple is no exception.

1. Normal Anatomy: The small bumps you are observing could be Montgomery glands, which are sebaceous glands located on the areola. These glands are normal and serve to lubricate the nipple during breastfeeding. They can appear as small, raised bumps and are typically not a cause for concern.

2. Sebaceous Cysts: Another possibility is the presence of sebaceous cysts, which are benign lumps filled with oil and dead skin cells. They can occur anywhere on the body, including the breast area. These cysts are usually painless and may not require treatment unless they become infected or bothersome.

3. Fibroadenomas: These are benign tumors that can develop in breast tissue. They are usually smooth, movable, and painless. If you notice any changes in size or if they become painful, it would be advisable to consult a healthcare provider for further evaluation.

4. Infections or Inflammatory Conditions: Though less common, infections such as mastitis can cause swelling and tenderness in the breast area. This condition is typically associated with breastfeeding but can occur in non-lactating women as well. Symptoms may include redness, warmth, and pain in the affected area.

5. Paget’s Disease of the Nipple: This is a rare form of breast cancer that can present with changes in the skin of the nipple and areola, including itching, redness, and flaking. However, this condition usually presents with other symptoms, and the presence of painless bumps alone is not indicative of Paget’s disease.

6. Skin Conditions: Conditions such as eczema or psoriasis can also affect the breast area, leading to bumps or changes in skin texture. These conditions may be associated with itching or irritation.

Given that you mentioned the bumps are not painful or itchy, it is likely that they are benign. However, it is always prudent to monitor any changes in size, shape, or sensation. If you notice any new symptoms, such as pain, discharge, or changes in the skin, it would be wise to consult a healthcare professional for a thorough examination.


Recommendations:
- Self-Examination: Regularly perform breast self-exams to familiarize yourself with the normal texture and appearance of your breasts. This can help you notice any changes early.

- Consult a Healthcare Provider: If you have any concerns or if the bumps change in appearance or become symptomatic, it’s best to seek medical advice. A healthcare provider can perform a clinical examination and may recommend imaging studies, such as an ultrasound, if necessary.

- Avoid Self-Diagnosis: While it’s helpful to gather information, self-diagnosing can lead to unnecessary anxiety. Professional evaluation is key to understanding your condition accurately.

In conclusion, while the small bumps near your nipple are likely benign, staying informed and vigilant about your breast health is essential. Regular check-ups and open communication with your healthcare provider can help ensure any potential issues are addressed promptly.

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