Check front, middle, and back
Note firm or enlarged nodes
4. Nipple Retraction or Inversion
A nipple that suddenly turns inward — when it previously pointed outward — is a major red flag.
This occurs when tumor tissue pulls on structures behind the nipple.
Urgency increases if:
The change is new
Only one nipple is affected
There’s discharge or skin change
Congenital inversion is usually harmless, but new inversion requires evaluation.
3. Red, Flaky, or Thickened Nipple or Areola Skin
Persistent redness, scaling, or thickened skin around the nipple may indicate Paget’s disease of the breast, a rare condition often linked to underlying cancer.
Early diagnosis leads to excellent outcomes.
2. Unusual Nipple Discharge
Any discharge not related to breastfeeding deserves attention, especially if it occurs spontaneously.
Levels of concern:
Bloody discharge: Highest urgency
Clear or colored discharge: Still needs evaluation
Discharge from one nipple only: More concerning
Bloody discharge, in particular, requires immediate medical assessment.
Survival by stage:
Localized (no nodes): ~99%
Regional (nodes involved): Lower
Distant spread: Significantly reduced
Any breast change combined with lymph node swelling is an urgent warning sign.
Your Actionable Breast Health Plan
Start protecting yourself today:
Perform monthly self-exams
Schedule annual clinical exams and mammograms
Track changes with photos or a journal
Discuss family history with your doctor
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