Orange Peel-Like Bumps on the Areola: What to Do? - Breast and Thyroid

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The areola has a texture similar to that of orange peel?


Hello, I am 25 years old and have not given birth.
I have a dimpled area on my right areola that resembles orange peel, approximately in the 3 to 7 o'clock position.
There are also blister-like formations in the raised area, and when the skin breaks, a small amount of serous fluid leaks out.
Light pressure on this area does not cause pain, but occasionally, the nipple releases a small amount of milky white fluid that resembles breast milk.
There is no history of breast cancer in my second-degree relatives, but my mother has a history of thyroid cancer.
I would like to ask the doctor how to manage this condition.
If I seek medical attention, should I choose a breast surgeon or a general surgeon? Thank you for your response, doctor.

Jie, 20~29 year old female. Ask Date: 2015/08/15

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello, it may be eczema-like changes.
I'm not sure if it is itchy, but I recommend visiting a dermatologist for treatment.
If there is no improvement, I suggest a breast surgical examination.
Wishing you peace and good health.
Sincerely, Dr.
Chou Chia-Cheng, Chief of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/15

More Info


The symptoms you are describing regarding the orange peel-like bumps on your areola, along with the presence of fluid-filled blisters and occasional discharge, warrant careful evaluation. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into what these symptoms might indicate and the appropriate steps to take.

The appearance of the skin on the areola can be influenced by various factors, including hormonal changes, skin conditions, or even infections. The term "orange peel" is often used to describe a dimpled or pitted appearance of the skin, which can be associated with several dermatological conditions. In some cases, it may be benign, such as a condition known as Montgomery tubercles, which are normal sebaceous glands that can become more prominent due to hormonal changes or skin irritation. However, the presence of blisters and fluid discharge raises concerns that should not be overlooked.

Given your age and the fact that you have not had children, it is less likely (but not impossible) that these symptoms are related to pregnancy or lactation. The occasional discharge resembling milk could indicate a hormonal imbalance or a benign condition, but it is essential to rule out any serious issues, including infections or other breast conditions.

Here are some steps you should consider taking:
1. Consult a Specialist: It is advisable to see a healthcare provider who specializes in breast health, such as a breast surgeon or a breast specialist. They will have the expertise to evaluate your symptoms thoroughly. General surgeons can also assess breast conditions, but a breast specialist may provide more focused care.

2. Physical Examination: During your appointment, the doctor will likely perform a physical examination of your breasts, focusing on the affected area. They may check for any additional lumps, changes in skin texture, or signs of infection.

3. Imaging Studies: Depending on the findings from the physical examination, your doctor may recommend imaging studies such as a mammogram or ultrasound. These tests can help visualize the internal structures of the breast and identify any abnormalities.

4. Biopsy: If there are concerning findings, a biopsy may be necessary to obtain a tissue sample for further analysis. This can help determine if there are any underlying issues that need to be addressed.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the size of the bumps, any changes in discharge, or the development of new symptoms. This information can be valuable for your healthcare provider.

6. Family History Consideration: While you mentioned that there is no family history of breast cancer, it is essential to consider your mother's history of thyroid cancer. Although thyroid cancer is not directly related to breast cancer, it is always good to discuss any family history of cancers with your healthcare provider, as it may influence your risk assessment.

7. Avoid Self-Diagnosis: While it is tempting to search for answers online, it is crucial to avoid self-diagnosing. Many skin conditions can mimic each other, and only a qualified healthcare professional can provide an accurate diagnosis.

In summary, while the symptoms you are experiencing may not necessarily indicate a severe condition, they do require evaluation by a healthcare professional. Early assessment and intervention are key to addressing any potential issues effectively. Make an appointment with a breast specialist or a general surgeon to discuss your symptoms and receive appropriate care. Your health and peace of mind are paramount, so do not hesitate to seek help.

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