Is One-Sided Nipple Eczema a Sign of Cancer in Men? - Dermatology

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Could you please provide more details or specify what you would like to know about eczema?


Hello, Dr.
Li.
I would like to ask if the likelihood of cancer is high for a male with eczema on one side of the areola.
About 2 to 3 months ago, I suddenly experienced occasional itching on the right side of my areola, and in the past few days, I noticed that the skin has broken and there is a clear, serous discharge in an area approximately 1 cm in size next to the right nipple.
I have been very worried after researching online, wondering if this could be breast cancer.
Since I am currently working in Thailand and cannot take a short leave to return to Taiwan, should I see a dermatologist or a surgeon locally? Or would you recommend that I return to Taiwan for consultation? Thank you for your help! Note: I have dry skin and am prone to winter itch.

jerry, 30~39 year old female. Ask Date: 2016/02/09

Dr. Li Yufen reply Dermatology


Hello: The incidence of male breast cancer is lower than that of females.
Lesions around the nipple and areola that resemble eczema need to be evaluated to rule out Paget's disease.
It is recommended to consult a dermatologist nearby for a definitive diagnosis.
If it is just common eczema, it should heal with treatment.
However, if there are still skin abnormalities or if a lump is felt in the breast, further examination is necessary.
Thank you!

Reply Date: 2016/02/09

More Info


When it comes to concerns about one-sided nipple eczema in men, it's important to approach the situation with a balanced perspective. While any unusual changes in the skin, especially around the nipple area, can understandably cause anxiety, it is crucial to differentiate between benign conditions and those that may indicate a more serious issue, such as cancer.

Eczema, or dermatitis, is a common skin condition that can occur in various forms, including contact dermatitis, atopic dermatitis, and seborrheic dermatitis. In men, eczema can manifest as dry, itchy patches, and it may sometimes lead to secondary infections if the skin is broken due to scratching. The symptoms you describe—itching, broken skin, and the presence of a clear fluid—are consistent with eczema or another dermatological condition rather than breast cancer.

Breast cancer in men is relatively rare, accounting for less than 1% of all breast cancer cases. When it does occur, symptoms may include a lump in the breast tissue, changes in the skin or nipple, or discharge from the nipple. The presence of eczema-like symptoms does not typically correlate with breast cancer, especially if there are no lumps or significant changes in the breast tissue itself.

Given your symptoms, it would be advisable to seek medical attention. Since you are currently in Thailand and may not be able to return to Taiwan immediately, consulting a local healthcare provider is a practical step. You could visit either a dermatologist, who specializes in skin conditions, or a general practitioner who can assess your symptoms and provide appropriate treatment. They may perform a physical examination and, if necessary, recommend further tests to rule out any serious conditions.

If the eczema is indeed the cause of your symptoms, treatment may include topical corticosteroids to reduce inflammation, moisturizers to combat dryness, and possibly antihistamines to alleviate itching. It’s also important to avoid known irritants or allergens that may exacerbate your condition.

In summary, while it’s natural to worry about potential serious conditions like cancer, the symptoms you describe are more likely related to eczema or another benign skin condition. Seeking local medical advice will help you get a clearer understanding of your situation and appropriate treatment. If your symptoms persist or worsen, or if you notice any new symptoms such as lumps or significant changes in the breast tissue, it would be prudent to follow up with a healthcare provider as soon as possible. Remember, early intervention is key in managing any health concerns effectively.

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