Inverted nipple?
Doctor, I noticed that one side of my areola is slightly indented, but it's not completely sunken; it's just a little bit at the top.
This indentation is only noticeable when I take off my bra; when I'm not wearing one, it doesn't appear.
I had a breast ultrasound at a major hospital last October, and I'm wondering if this condition could be breast cancer.
I've noticed this for about a month now.
zinni, 20~29 year old female. Ask Date: 2014/05/21
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Zinni,
Hello, if there are times when the symptoms improve and other times when they worsen, it is less likely to be a malignant tumor.
If a malignant tumor were affecting the symptoms, they would likely be persistent and become increasingly pronounced.
Regular hospital check-ups and monthly self-examinations (with hospital visits if issues arise) are recommended.
Wishing you peace and health.
Sincerely,
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare
Zhou Jiazhen
Reply Date: 2014/05/21
More Info
Nipple inversion can be a concerning symptom for many individuals, especially when it comes to breast health. It is important to understand that nipple inversion can occur for various reasons, and while it can be associated with breast cancer, it is not exclusively a sign of malignancy.
In your case, you mentioned that the inversion is only slight and occurs primarily when wearing a bra, which may suggest a benign condition rather than a serious issue. Nipple inversion can be caused by several factors, including anatomical variations, hormonal changes, or benign breast conditions such as fibrocystic changes or infections. It is also worth noting that some women may have naturally inverted nipples without any underlying pathology.
However, any new change in the breast, including nipple inversion, should be evaluated by a healthcare professional, particularly if it is a recent development. In your situation, since you had an ultrasound last October that presumably did not indicate any issues, it is possible that this new change is not related to breast cancer. Nonetheless, it is crucial to follow up with your healthcare provider for a thorough examination.
Breast cancer can sometimes present with changes in the nipple or areola, including inversion, discharge, or changes in skin texture. The AJCC staging system, which you may have heard of in relation to breast cancer, emphasizes the importance of clinical evaluation and imaging studies in diagnosing and staging breast cancer. If there are any concerns, your doctor may recommend additional imaging, such as a mammogram or repeat ultrasound, to assess the current state of your breast tissue.
In summary, while nipple inversion can be a sign of breast cancer, it is not definitive on its own. Given your history and the recent change, it is advisable to consult with your healthcare provider for further evaluation. They may recommend additional imaging or a clinical examination to rule out any serious conditions. Early detection and intervention are key in managing breast health, so do not hesitate to seek medical advice.
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