There are small growths on the nipple that are painful to touch?
Hello Dr.
Zhou, I have a small pink bump on my left nipple that feels very painful when touched.
There is some white discharge on the nipple, but after cleaning, I cannot express any more.
My menstrual period has just ended, and I am unsure what this could be.
Is it necessary for me to seek medical attention?
Peggy, 20~29 year old female. Ask Date: 2012/08/24
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Peggy: Based on your description, it seems more like a benign skin tumor that may be caused by a blockage of the skin glands.
If it increases in size or if symptoms persist, I recommend an outpatient examination.
Wishing you safety and health.
Sincerely, Dr.
Chao Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Department of Health.
Reply Date: 2012/08/24
More Info
When it comes to a painful pink bump on the nipple, there are several potential causes to consider. The symptoms you describe, including the presence of a painful bump and white discharge, could indicate a few different conditions. Here are some possibilities:
1. Montgomery Glands: These are sebaceous glands located on the areola that can become enlarged or clogged, leading to small bumps. They can sometimes become tender or painful, especially during hormonal changes, such as those that occur during the menstrual cycle.
2. Infection: A painful bump could be a sign of an infection, such as a localized skin infection (like folliculitis) or even a more serious condition like mastitis, which is an infection of the breast tissue. Mastitis is more common in breastfeeding women but can occur in others as well.
3. Cysts: A cyst can form in the breast tissue and may present as a painful lump. These are usually benign but can cause discomfort.
4. Fibroadenoma: This is a benign tumor that can occur in breast tissue, typically presenting as a painless lump, but sometimes it can be tender.
5. Paget's Disease of the Nipple: This is a rare form of breast cancer that can cause changes in the skin of the nipple and areola, including redness, flaking, and a lump. It is usually associated with underlying breast cancer.
Given that you mentioned the bump is painful and that there is some discharge, it is important to take these symptoms seriously. While some conditions may resolve on their own, others may require medical intervention.
When to Seek Help
You should consider seeking medical attention if:
- The bump persists or worsens over time.
- You experience increased pain, redness, or swelling in the area.
- There is a change in the discharge, such as an increase in volume, color change, or foul odor.
- You notice any other unusual symptoms, such as fever, chills, or systemic symptoms.
- You have a family history of breast cancer or other breast conditions.
Conclusion
It is always better to err on the side of caution when it comes to changes in breast tissue. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or mammogram, to better understand the nature of the bump. They can also provide guidance on treatment options if necessary.
In summary, while there are several benign explanations for a painful pink bump on the nipple, the presence of pain and discharge warrants a professional evaluation to rule out any serious conditions. Don't hesitate to reach out to a healthcare provider for a thorough assessment and peace of mind.
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