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    Breast skin and nipple changes

    Inverted nipple; Nipple discharge

    Learn about skin and nipple changes in the breast so you know when to see a health care provider.

    Notice Changes in Your Breasts and Nipples

    INVERTED NIPPLES

    • This is normal if your nipples have always been indented inward and can easily point out when you touch them.
    • If your nipples are pointing in and this is new, talk to your health care provider right a way.

    SKIN PUCKERING OR DIMPLING

    This can be caused by scar tissue from surgery or an infection. Often, scar tissue forms for no reason. See your health care provider. But know that most of the time this issue does not need treatment.

    WARM TO THE TOUCH, RED, OR PAINFUL BREAST

    This is almost always caused by an infection in your breast. Rarely it can be due to breast cancer. See your health care provider for treatment.

    SCALY, FLAKING, ITCHY SKIN

    • This is usually eczema or a bacterial or fungal infection. See your health care provider for treatment.
    • Flaking, scaly, itchy nipples can be a sign of Paget's disease. This is a rare form of breast cancer involving the nipple.

    THICKENED SKIN WITH LARGE PORES

    This is called peau d'orange because the skin looks like an orange peel. An infection in the breast or inflammatory breast cancer can cause this problem. See your health provider right away.

    RETRACTED NIPPLES

    Your nipple was raised above the surface but begins to pull inward and does not come out when stimulated. See your health provider if this is new.

    When to Call the Doctor

    Call for an appointment with your health care provider if you notice:

    • Your nipple is retracted or pulled in when it was not that way before.
    • Your nipple has changed in shape.
    • Your nipple becomes tender and it is not related to your menstrual cycle.
    • Your nipple has skin changes.
    • You have new nipple discharge.

    What to Expect from the Doctor

    Your health care provider will talk to you about your medical history and recent changes you have noticed in your breasts and nipples. Your health care provider will also do a breast exam. Your health care provider may suggest that you see a dermatologist or breast specialist.

    You may have these tests done:

    • Mammogram
    • Breast ultrasound
    • Biopsy
    • Other tests for nipple discharge

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          A Closer Look

          Self Care

          Tests for Breast skin and nipple changes

          Review Date: 9/15/2012

          Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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