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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does The Hard And Sore Areola Need Removal By Surgery?

hello doc I am worried becoz I felt a hard thing on my areola a pea size, I notice this for about a week now. a bit sore when touch. Do I have to remove it? I am 44 from the philippines. My doctor gave me antibiotic and anti inflammatory upon my request, bec. I dont want to remove it rightaway.
Thu, 18 Jun 2015
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General Surgeon,  's  Response
Hi,Good Morning-from INDIA.I am Dr.Savaskar M.N.here to take of your health query from HCM virtual Clinic. Thanks for your Health-query to HCM Clinic.
-I studied your query in-depth and I understood your concerns.
-My opinion-this requires clinical examn as there are many reasons.But from the facts of your query-it appears to be infected Montgomerries glands of the nipple areola.Other possibilities could be-?galactocel?fibrocystic adenoma?periductial adenoma -benign or malingnant?
-I would advise you as you dont want to remove it immediately- as follows-
a-If after the antibiotics the pain/soreness goes and lump vanishes or becomes supple,then it would go of its own in 1-2 wks time-as the infection of the Montgomeries glands of areola subsides by that time.
-b-If hardness of lump-does not reduce-You consult a Surgeon-
c-who would do-CBC and would review treatment by -EXCISION BIOPSY-which would take care of the cause of it and would remove the lump itself.
Advise-So if surgeon feels -Surgery may be needed.But as told above it could be treated patiently -with-
a-Tb NSAIDs
b-Antibiotics for infection control.
c-Tb Serropeptidase-if harness takes time to recover -this may be tried for 5 days time
d-If still it remains-this may need surgical excision ONLY-if it TROUBLES YOU .
-e-If it does not ,then you still could avoid Surgery and keep watch on it with advise from Surgeon.
-Hope this would help you recover fast out of the Lump anxiety.
Wellcome to HCM again for better Health and Living.
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Does The Hard And Sore Areola Need Removal By Surgery?

Hi,Good Morning-from INDIA.I am Dr.Savaskar M.N.here to take of your health query from HCM virtual Clinic. Thanks for your Health-query to HCM Clinic. -I studied your query in-depth and I understood your concerns. -My opinion-this requires clinical examn as there are many reasons.But from the facts of your query-it appears to be infected Montgomerries glands of the nipple areola.Other possibilities could be-?galactocel?fibrocystic adenoma?periductial adenoma -benign or malingnant? -I would advise you as you dont want to remove it immediately- as follows- a-If after the antibiotics the pain/soreness goes and lump vanishes or becomes supple,then it would go of its own in 1-2 wks time-as the infection of the Montgomeries glands of areola subsides by that time. -b-If hardness of lump-does not reduce-You consult a Surgeon- c-who would do-CBC and would review treatment by -EXCISION BIOPSY-which would take care of the cause of it and would remove the lump itself. Advise-So if surgeon feels -Surgery may be needed.But as told above it could be treated patiently -with- a-Tb NSAIDs b-Antibiotics for infection control. c-Tb Serropeptidase-if harness takes time to recover -this may be tried for 5 days time d-If still it remains-this may need surgical excision ONLY-if it TROUBLES YOU . -e-If it does not ,then you still could avoid Surgery and keep watch on it with advise from Surgeon. -Hope this would help you recover fast out of the Lump anxiety. Wellcome to HCM again for better Health and Living.