Hard Lumps on the Areola: Causes and Concerns

Nodule on the areola?

I would like to ask a question.
I had a baby removed around October 15th but did not have a follow-up appointment.
By around November 10th, I felt something was wrong, so I went back for a check-up and discovered that it had not been properly addressed, leading to another surgery the next day.
I now feel some pain in my chest.
Upon self-examination, I found a small hard lump around the areola area that hurts when pressed.
Sometimes it feels slightly itchy, but there is no other discharge or swelling; it only hurts when I intentionally press on it.
What could this be?

Yuxuan, 20~29 year old female. Ask Date: 2012/11/13

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Yu-Hsuan,
Hello.
The most likely cause may be related to hormonal metabolism issues within the body.
Physiological and psychological factors can lead to hormonal imbalances, resulting in the proliferation of breast tissue and a sensation similar to a lump.
If the symptoms persist, you should visit a breast surgery clinic for further examination.
Wishing you safety and health,
Director of Surgery, Taoyuan Hospital, Department of Health
Zhou Jia-Zheng

Reply Date: 2012/11/13

More Info

Understanding hard lumps on the areola can be concerning, especially after undergoing a surgical procedure related to pregnancy or breastfeeding. Based on your description, it seems that you have experienced some complications following your surgery, which may have led to the development of these lumps.
There are several potential causes for hard lumps on the areola, particularly in the context of recent surgical intervention. Here are a few possibilities:
1. Post-Surgical Changes: After any surgical procedure, it is common for the body to undergo changes as it heals. This can include the formation of scar tissue, which may feel like a hard lump. The pain and tenderness you experience when pressing on the area could be related to inflammation or irritation of the tissue surrounding the surgical site.

2. Cysts: Sometimes, fluid-filled sacs known as cysts can develop in the breast tissue. These can be benign and may cause discomfort or pain, especially if they become inflamed. Cysts can sometimes feel hard and may be tender to the touch.

3. Infection: If the surgical site was not completely cleaned out, there is a possibility of infection. An infection can lead to localized swelling, pain, and the formation of lumps. While you mentioned that there is no discharge or significant swelling, it is still important to monitor for any changes, as infections can sometimes present subtly.

4. Fibrocystic Changes: This is a common condition in women, characterized by lumpy or rope-like breast tissue. These changes can be influenced by hormonal fluctuations and may cause discomfort or pain, particularly before menstruation.

5. Fat Necrosis: This occurs when fatty tissue in the breast is damaged, often due to trauma or surgery. It can lead to the formation of hard lumps that may be painful.
Given your recent surgical history and the symptoms you are experiencing, it is crucial to follow up with your healthcare provider. They may recommend imaging studies, such as an ultrasound, to evaluate the lump further and determine the appropriate course of action.
In the meantime, here are some general recommendations:
- Avoid Pressing on the Area: While it may be tempting to press on the lump to assess it, this can exacerbate inflammation and discomfort. Try to avoid manipulating the area as much as possible.

- Monitor Symptoms: Keep track of any changes in the lump, such as size, shape, or associated symptoms like redness, warmth, or discharge. This information will be helpful for your healthcare provider.

- Pain Management: If the pain is bothersome, over-the-counter pain relievers such as acetaminophen or ibuprofen may help alleviate discomfort. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

- Seek Medical Attention: If you notice any worsening symptoms, such as increased pain, fever, or changes in the lump, seek medical attention promptly.
In summary, while hard lumps on the areola can arise from various causes, your recent surgical history makes it essential to consult with your healthcare provider for a thorough evaluation. They can provide a definitive diagnosis and recommend appropriate treatment to ensure your health and well-being.

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