
Swelling may appear before a lump can be felt.
4. Nipple Turning Inward (New Inversion)
A nipple that suddenly turns inward — when it previously pointed outward — is an important sign.
While some people naturally have inverted nipples, a new change is concerning and should be evaluated.
3. Redness, Scaling, or Thickening of the Nipple or Areola
Persistent redness, crusting, or flaking around the nipple may indicate Paget’s disease of the breast, a rare condition often associated with underlying breast cancer.
This symptom is frequently mistaken for eczema and may not improve with topical creams.
2. Unusual Nipple Discharge
Any nipple discharge not related to breastfeeding should be taken seriously, especially if it occurs spontaneously.
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Bloody discharge: highest concern
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Clear or colored discharge: still requires evaluation
Discharge from only one breast is particularly important to investigate.