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Suggest Treatment For Painful Blister On Nipple

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Posted on Sat, 2 Jan 2016
Question: Hello, I started with pain to my left nipple, I then noticed like a blister on my nipple, which was painfull upon touching my blouse for 2 days, on the 2nd night I fell asleep with my bra on and layed against my left breast and the following morning once I took off my bra I noticed white discharge with pus followed by blood. Once it drained all the pain was gone, and back to normal. It seemed like a blister that pooped. This would be the 2nd time that's happened, just the first time was not to much. Please advice.
doctor
Answered by Dr. Mukund Savaskar (3 hours later)
Brief Answer:
Left Sub-Areaolar Breast Abscess in non lactating Breast/Under Evaluation

Detailed Answer:
Brief Ans-Left Sub-Areolar Breast Abscess in non lactating Breast/Under Evaluation

Hi,Dear,Thanks for your query to HCM.
Read and Reviewed your health concerns with the facts of the query in details.
Your problem is recurring Sub-Areolar breast Abscess.
Alerst for the Risks-
-Dear as the Sub-areolar breast abscesses in the non-lactating women are rare and raise the risk of ?Granulomatous or Cancerous pahtology as the cause of it,
-I would suggest you to under go-CT/PET Scan Guided FNAC or Excision Biopsy of this breast tissue or the Biopsy from the Breast wall,if the Breast Abscess Cavity is very large, to rule out the risk of odd reasons with its sever complications.
-More Info needed before suggesting on the line of further treatment evaluation-
as follows-
Since when the last breast abscess was drained ?
Was it tested at that time by biopsy of the Breast wall abscess?
How long the pain was there in the nipple of the left breast?
Any bodyache / malaise was there during the pre-bursting phase of the breast abscess?
Any axillary swellings were there?
Was the drainage done by a Surgeon?
and whether the breast abscess was assessed for the Axillary spread and for the risk of the hiding Breast Cancer in such a case?
I would wait till I get the above and other updates if any from You.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mukund Savaskar (4 days later)
Hello Dr and thank you for your response,

My last abscess was drained 11/21/15 my myself.

Non tested

Pain was there for 2 or 3 days before drained out.

No body aches but did come down with the flu, took advils.

No axillary swelling

No surgeon performed the drainage.

doctor
Answered by Dr. Mukund Savaskar (34 hours later)
Brief Answer:
Left Sub-Areaolar Breast Abscess in non lactating Breast/Under Evaluation

Detailed Answer:
Brief Ans-Left Sub-Areaolar Breast Abscess in non lactating Breast/Under Evaluation

Hi,Dear,Thanks for the updates on a very sensitive health issue of yours.
Based on the facts of your query and updates,After reviewing your Normal Mammogram and USG,I would still put You on ALERTS.
Currently though the your findings suggests its only breast abscess,still the cause of it is still unknown.
Hence I would suggest to abide by My last suggestions-as follows-
As the abscess is recently drained and everything is normal,the fact that this recurred for the 2nd time,makes the need for the FNAC after a period of 3 mths of the Subareolar Breast area,or the Excision Biopsy of the Abscess area if it recurres again for the 3 rd time.

I would leave it to you, to go for the Excision Biopsy,after 2 weeks at the Left Sub-Areolar Breast site,as the risk of -any DCIS(Ductal Cancer In Situ)-should not be missed and let this lesion convert itself in fullgrown advanced Cancerous lesion of -Ductal AdenoCarcinoma.This is because its very rare to get the abscess in the non-lactating lady and due the age of yours, with high cancer risk.

My Impression of your case.
Though your case seems to be without any cancer,I would suggest you to do Excision Biopsy of the Left sub-areolar site of the breast.
Keep Me updated with the reports of the Biopsy soon.

Hope this reply would help you and would reduce your worries and anxiety with this query.
If satisfied,Will appreciate You,to write the excellent feedback comments,just to help the Needy patient visitors like You,at My Virtual Clinic At HCM.

Wishing you health life and fast recovery.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest Treatment For Painful Blister On Nipple

Brief Answer: Left Sub-Areaolar Breast Abscess in non lactating Breast/Under Evaluation Detailed Answer: Brief Ans-Left Sub-Areolar Breast Abscess in non lactating Breast/Under Evaluation Hi,Dear,Thanks for your query to HCM. Read and Reviewed your health concerns with the facts of the query in details. Your problem is recurring Sub-Areolar breast Abscess. Alerst for the Risks- -Dear as the Sub-areolar breast abscesses in the non-lactating women are rare and raise the risk of ?Granulomatous or Cancerous pahtology as the cause of it, -I would suggest you to under go-CT/PET Scan Guided FNAC or Excision Biopsy of this breast tissue or the Biopsy from the Breast wall,if the Breast Abscess Cavity is very large, to rule out the risk of odd reasons with its sever complications. -More Info needed before suggesting on the line of further treatment evaluation- as follows- Since when the last breast abscess was drained ? Was it tested at that time by biopsy of the Breast wall abscess? How long the pain was there in the nipple of the left breast? Any bodyache / malaise was there during the pre-bursting phase of the breast abscess? Any axillary swellings were there? Was the drainage done by a Surgeon? and whether the breast abscess was assessed for the Axillary spread and for the risk of the hiding Breast Cancer in such a case? I would wait till I get the above and other updates if any from You. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS