Growths Near the Nipple: Should You Be Concerned? - Breast and Thyroid

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Nipple granuloma?


Hello Doctor: My left nipple is inverted, but this year I developed a protruding growth next to the nipple that looks like a granuloma.
Is this normal, or can it be treated? It looks quite unusual visually! Thank you!

Miss Lin, 30~39 year old female. Ask Date: 2015/11/03

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Miss Lin: This is mostly due to polyps or skin tags.
If there is any enlargement or symptoms, surgical removal is recommended.

Reply Date: 2015/11/03

More Info


When it comes to growths near the nipple, such as the one you described as resembling a "fleshy bump" or "granulation tissue," it's important to approach the situation with a clear understanding of what these growths could be and when they might warrant concern.
Firstly, it's essential to recognize that various benign conditions can lead to the formation of growths around the nipple area. Common benign growths include seborrheic keratosis, skin tags, and benign cysts. These growths are typically harmless and may not require treatment unless they cause discomfort or cosmetic concerns. Granulation tissue, which is a type of tissue that forms during the healing process, can also appear as a bump and is generally not a cause for alarm.

However, any new growth or change in the breast area should be evaluated carefully. Factors to consider include:
1. Characteristics of the Growth: Is the bump painful, itchy, or changing in size? A growth that is painful or rapidly changing may require further evaluation.

2. Duration: If the growth has been present for a short time and is not causing any issues, it may be monitored. However, if it persists or grows, it’s advisable to seek medical advice.

3. Associated Symptoms: Are there any other symptoms, such as discharge from the nipple, changes in breast shape or size, or skin changes? These could indicate a need for further investigation.

4. Personal and Family Medical History: A history of breast conditions or cancer in your family may necessitate a more cautious approach.

Given that you mentioned the growth is visually concerning, it may be worth consulting with a healthcare provider, such as a dermatologist or a breast specialist. They can perform a physical examination and, if necessary, recommend imaging studies like an ultrasound or a mammogram to assess the growth further. In some cases, a biopsy may be performed to rule out any malignant changes.

In terms of treatment, if the growth is determined to be benign and not causing any symptoms, options may include observation or removal for cosmetic reasons. Procedures for removal can often be done in an outpatient setting and may involve simple excision or other techniques depending on the nature of the growth.

In summary, while many growths near the nipple are benign and not a cause for concern, it is always best to err on the side of caution. Consulting a healthcare professional for a thorough evaluation will provide peace of mind and ensure that any necessary treatment is initiated promptly. Remember, your health and comfort are paramount, and addressing any concerns with a qualified professional is the best course of action.

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