Hard Lump Behind Right Nipple: Causes and When to Seek Help - Breast and Thyroid

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There is a hard lump on the right nipple?


Hello Dr.
Chou,
I have a hard lump behind my right nipple that sometimes causes mild pain.
When I press on it, I can feel that the lump behind the nipple is round, and it is painful when I squeeze it.
What could this condition be? Do I need to see a doctor? If so, which specialty should I consult? I appreciate your valuable advice.
Thank you!

ML, 10~19 year old female. Ask Date: 2012/07/22

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello: 1.
Symptoms similar to gynecomastia.
2.
It is caused by an increase in female hormones in the body, similar to breast tenderness experienced during a woman's menstrual period; it can sometimes be painful.
It is recommended to consult a specialist in breast surgery for an examination.
Wishing you peace and health, Dr.
Chou Chia-Cheng, Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2012/07/22

More Info


When you notice a hard lump behind your right nipple, it can understandably cause concern. There are several potential causes for this symptom, and understanding them can help you determine whether you need to seek medical attention.

One common cause of a hard lump behind the nipple is a benign condition known as a fibroadenoma. Fibroadenomas are non-cancerous tumors made up of glandular and connective tissue. They are usually round, firm, and can sometimes be tender to the touch. These lumps are most commonly found in younger women and can vary in size. While they are generally harmless, any changes in the breast should be evaluated by a healthcare professional.

Another possibility is a cyst, which is a fluid-filled sac that can develop in the breast tissue. Cysts can also feel like a lump and may cause discomfort or pain, especially if they become large or if they are located near sensitive areas. Like fibroadenomas, breast cysts are typically benign.

In some cases, the lump could be related to hormonal changes, especially if you are premenopausal. Hormonal fluctuations can lead to breast tenderness and the formation of lumps. However, if the lump persists or changes in size or shape, it is essential to consult a doctor.

In rare cases, a hard lump behind the nipple could indicate a more serious condition, such as breast cancer. While breast cancer lumps are often painless, they can sometimes be tender, particularly if they are affecting surrounding tissues. Other signs of breast cancer may include changes in the skin over the breast, such as dimpling or puckering, changes in the shape or size of the breast, or discharge from the nipple.

Given your description of the lump being painful when pressed, it is advisable to seek medical attention. You should consult a healthcare provider who specializes in breast health, such as a breast surgeon or a gynecologist. They will likely perform a physical examination and may recommend imaging tests, such as a mammogram or ultrasound, to further evaluate the lump.

It is essential to address any concerns about breast lumps promptly. Early evaluation and diagnosis can help rule out serious conditions and provide peace of mind. If the lump is determined to be benign, your doctor can discuss monitoring options or treatment if necessary.

In summary, while a hard lump behind the nipple can be due to benign conditions like fibroadenomas or cysts, it is crucial to have it evaluated by a healthcare professional. They can provide a proper diagnosis and recommend the best course of action based on your specific situation. Always prioritize your health and do not hesitate to seek medical advice when you notice changes in your body.

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