Recurrent Hard Lumps on the Areola: Causes and Concerns

A hard lump has developed on the areola?

Doctor, I have a hard lump on my areola.
It started as a single lump, which later became painful and swollen, but after a while, it shrank and stopped hurting.
However, it started again after some time! This cycle of swelling and pain has been repeating, and the lump is getting larger.
Eventually, a pustule appeared on the surface, looking like it was about to burst, with some blood in it.
It became so swollen and painful that it broke a small hole, and pus-like fluid started to ooze out.
I squeezed it and expelled a lot of thick, pus-like material, which was not watery.
After squeezing some out, it reduced in size a bit and then slowly went away, and it stopped hurting! I initially thought it was just a pimple that looked like a nail, but after a while, it started to hurt again and then swelled up again! It started small, but after the pain began, it gradually got larger! I would like to ask the doctor what could be the cause of this? This issue has been troubling me for a long time! I hope you can help me with an answer! Thank you!

Chen, 20~29 year old female. Ask Date: 2015/08/23

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Team Chen,
Hello.
Symptoms resembling those caused by glandular obstruction and infection can sometimes lead to the accumulation of pus.
If this occurs repeatedly, surgical removal is often recommended, although recurrence is common.

Wishing you peace and health.
Sincerely,
Zhou Jiazhen
Director of Surgery
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/08/23

More Info

Recurrent hard lumps on the areola can be concerning, and it's important to understand the potential causes and implications of such symptoms. Based on your description, it seems that you are experiencing a cycle of inflammation, pain, and the formation of pus-filled lumps on your areola. This could be indicative of several conditions, and I will outline some possible causes and recommendations for further evaluation.

One common cause of recurrent lumps in the breast area, particularly around the areola, is a condition known as mammary duct ectasia. This occurs when a milk duct beneath the nipple dilates, fills with fluid, and thickens, leading to blockage and inflammation. Symptoms can include tenderness, swelling, and the formation of lumps that may become painful and produce a discharge, which can be pus-like.
Another possibility is abscess formation, which can occur due to bacterial infection. An abscess is a collection of pus that forms as the body’s immune response to infection. The fact that you have experienced pain, swelling, and the discharge of pus suggests that there may be an underlying infection. If the abscess is not fully drained or treated, it can recur, leading to the cycle of symptoms you described.

Additionally, sebaceous cysts or lipomas could also be responsible for the lumps you are experiencing. Sebaceous cysts are non-cancerous lumps filled with keratin and can become inflamed or infected, leading to pain and discharge. Lipomas are soft, fatty lumps that are generally painless and can occur in various locations, including the breast area.

Given the recurrent nature of your symptoms, it is crucial to seek medical evaluation. A healthcare provider may perform a physical examination and could recommend imaging studies, such as an ultrasound, to assess the nature of the lumps. In some cases, a biopsy may be necessary to rule out more serious conditions, including breast cancer, especially if there are concerning features such as rapid growth, persistent pain, or changes in the skin over the lump.

In the meantime, here are some general recommendations:
1. Avoid squeezing or manipulating the lumps: This can exacerbate inflammation and increase the risk of infection.

2. Warm compresses: Applying a warm compress to the area may help alleviate discomfort and promote drainage if an abscess is present.

3. Monitor symptoms: Keep track of any changes in size, pain level, or discharge characteristics, and report these to your healthcare provider.

4. Seek medical attention: Given the recurrent nature of your symptoms and the presence of pus, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate treatment.

In conclusion, while there are several potential causes for the recurrent hard lumps on your areola, the symptoms you describe warrant further investigation to ensure proper diagnosis and treatment. Early intervention can help prevent complications and provide you with relief from your symptoms. Please do not hesitate to reach out to a healthcare provider for personalized advice and care.

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