Unusual Bumps on the Nipple: When to Seek Help - Breast and Thyroid

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Nipple issues


Hello doctor, I have some strange small bumps on my right nipple that look a bit like pimples, but they are not painful or itchy, and there are no hard lumps around them.
Is this normal?

Xi de, 10~19 year old female. Ask Date: 2015/10/17

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Patient: Sometimes skin changes occur; please pay attention to whether there is any enlargement or symptoms (such as pain...).
If you notice any of these conditions, please visit the outpatient clinic for an examination.

Reply Date: 2015/10/17

More Info


When it comes to unusual bumps on the nipple, it's important to approach the situation with caution and awareness. Based on your description of having a small, painless, and non-itchy bump on your nipple that resembles a pimple, there are several potential explanations for this condition.
Firstly, it is essential to understand that the breast tissue, including the nipple area, can undergo various changes due to hormonal fluctuations, particularly in women. These changes can lead to the development of benign conditions such as Montgomery glands, which are small bumps that can appear on the areola and are completely normal. They serve a purpose in lubricating the nipple during breastfeeding.

Another possibility is the presence of a sebaceous cyst, which can occur when a hair follicle becomes clogged with oil and dead skin cells. These cysts are typically harmless and may not require treatment unless they become infected or bothersome.

However, while many nipple bumps are benign, it is crucial to remain vigilant. Any new or unusual changes in the breast should be evaluated by a healthcare professional, especially if they persist or change in appearance. This is particularly important if you notice any additional symptoms such as pain, discharge, or changes in the skin texture or color surrounding the nipple.

In terms of when to seek medical help, consider the following guidelines:
1. Duration and Changes: If the bump has been present for more than a few weeks or if it changes in size, shape, or color, it is advisable to consult a healthcare provider.

2. Associated Symptoms: If you experience any pain, itching, or discharge from the nipple, these could be signs of an underlying issue that needs further investigation.

3. Family History: If you have a family history of breast cancer or other breast conditions, it is prudent to have any new breast changes evaluated sooner rather than later.

4. Self-Examination: Regular breast self-exams can help you become familiar with the normal texture and appearance of your breasts, making it easier to notice any changes.

5. Professional Evaluation: If you are ever in doubt, it is always best to err on the side of caution and seek a professional evaluation. A healthcare provider may perform a physical examination and, if necessary, imaging studies such as a mammogram or ultrasound to assess the bump further.

In conclusion, while the bump you describe may be benign, it is essential to monitor it and consult a healthcare professional if you have any concerns. Early detection and intervention are key in addressing any potential issues related to breast health. Remember, your health and peace of mind are paramount, so do not hesitate to seek help if you feel it is necessary.

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