Tag Archives: nipple

Main Symptoms of Supernumerary Nipple and Breast Malformations

Supernumerary nipple and breast malformations are extra breast parts that develop along the “milk line” before birth. They can show up anywhere from the armpit to the groin and range from tiny moles to full extra breasts.

The commonest form is a single spare nipple—often a small, pink- or brown-tinted bump under the normal breast or in the armpit. It may look like a freckle and is easy to miss until hormone changes make it swell or tingle during periods, pregnancy, or breast-feeding. Some people have a complete extra breast with gland tissue, areola, and even a nipple that enlarges and feels tender much like the main breasts.

Extra tissue can ache or itch when hormones surge, and clothing rubbing can cause redness or a rash. If the area becomes warm, hard, and painful, an infection or abscess has set in and needs antibiotics. Rarely, the extra gland develops a firm lump that doesn’t shrink after the menstrual cycle; any new, growing, or irregular mass should be checked to rule out breast cancer in the supernumerary tissue.

Most extra nipples or breasts are harmless and can be left alone, but they are easily removed under local anesthetic if they hurt, look unsightly, or worry you.

SymptomWhat You Might See or Feel
Small bump along milk linePink- or brown-tinted spot, looks like a large freckle
Swelling or tendernessEnlarges with periods, pregnancy, or nursing
Complete extra breastRound areola, nipple, gland tissue that fills and aches
Skin irritationRedness, itch, or rash from bra friction
Infection signsWarmth, hardness, pain, possible pus
New lumpFirm, growing, or irregular mass—needs check for cancer

Main Clinical Manifestations of Nipple Inversion

Nipple inversion is the inward dimpling or retraction of the nipple-areolar complex, which may be congenital, physiologic, or pathologic. Symptoms range from cosmetic concern alone to indicators of underlying malignancy. Accurate classification (grades I–III) and recognition of associated features guide appropriate imaging and surgical management.

  1. Cosmetic deformity
    Visible inward folding that may be intermittent (grade I) or permanent (grades II–III), producing an umbilicated or slit-like appearance.
  2. Difficulty with lactation
    Inability to achieve effective latch; milk stasis and cracked epithelium increase the risk of mastitis and painful fissures.
  3. Nipple-areolar hygiene impairment
    Moisture trapping fosters maceration, malodour, and recurrent bacterial or candidal infection.
  4. Spontaneous or provoked discharge
    Serous, serosanguinous, or blood-stained secretion suggests duct ectasia, intraductal papilloma, or carcinoma; cytology is mandatory.
  5. Associated mass or skin changes
    Recent onset with palpable subareolar nodule, peau d’orange, or eczematous erosion mandates exclusion of Paget disease or invasive carcinoma.
  6. Pain or tethering
    Persistent pulling sensation or fixation to chest wall indicates fibrotic shortening of lactiferous ducts or malignant infiltration.
  7. Grading classification
    Grade I: nipple easily everted manually and maintains projection.
    Grade II: can be pulled out but promptly retracts.
    Grade III: cannot be everted; ducts are fibrotic and shortened.
  8. Sudden onset after 40 years
    New inversion, especially if unilateral and accompanied by bloody discharge, is considered malignant until proven otherwise and requires triple assessment.
Symptom / SignTypical Presentation
Cosmetic deformityUmbilicated or slit-like nipple
Lactation difficultyPoor latch, milk stasis, fissures
Hygiene issuesMaceration, malodour, infection
DischargeSerous, bloody → cytology mandatory
Associated massSubareolar nodule, skin changes
Pain/tetheringPulling sensation, chest-wall fixation
GradingI (evertable) → III (fixed inverted)
Sudden onset >40 yrUnilateral + bloody → exclude malignancy