Problemi al seno
Revisione paritaria di Dr Rosalyn Adleman, MRCGPUltimo aggiornamento di Dr Hayley Willacy, FRCGP Ultimo aggiornamento 31 Ott 2022
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In questa serie:Noduli al senoDolore al seno
Breast problems are very common in women of all ages. Most breast problems are not caused by breast cancer but it is really important to get any breast problems or concerns checked by a doctor. You may need to be referred to a breast specialist and you may need some tests such as a mammografia or an ecografia to find out the cause.
A colpo d'occhio
Nipple discharge is often caused by harmless conditions or medicines.
Discharge that is bloody, from one breast, or with a lump needs checking by a doctor.
Inverted nipples can be natural or due to injury or infection.
A newly inverted nipple should be checked by a doctor.
Skin changes on the breast, like itching or redness, should be seen by a doctor.
What breast problems can occur?
There are may different breast problems, including:
Nipple discharge.
Inverted nipples.
Changes in the skin of the breast.
Nipple discharge
Nipple discharge is usually caused by benign disease (i.e. not breast cancer). Normal nipple discharge occurs during pregnancy and breastfeeding and may continue until up to one year after childbirth or the end of breastfeeding. Excessive breast stimulation can also cause nipple discharge.
Nipple discharge can be caused by certain gland (endocrine) problems such as a prolactinoma or if you're taking certain medicines (the pillola contraccettiva orale combinata, cimetidina, antidepressivi oppure metoclopramide).
Nipple discharge caused by an underlying breast problem (for example, cancro al seno) is more likely to affect only one breast, the discharge may be bloodstained and there may also be an abnormal lump in the same breast.
Inverted nipples
An inverted nipple points into the breast instead of the normal shape of pointing outwards. Inverted nipples are often harmless with no serious underlying cause. Many women are born with nipples that naturally invert at times and then point outwards at other times. Sometimes the nipple may become inverted after breastfeeding.
If one or both nipples start to invert then it is very important to get it checked out but most cases are not due to anything serious.
The possible causes of inverted nipples include:
Injury to the breast, or breast surgery.
Cancro al seno.
Breast infections - for example, mastitis.
Rapid and substantial loss of weight.
Changes in the skin of the breast
Skin problems can develop on or near the breast. There may be itching, scaling, dimpling, swelling, redness or other changes in skin colour. There is often no serious underlying breast problem but these skin changes may be caused by breast cancer so it's really important to get checked out straightaway in case there is a serious problem.
Scelte del paziente per Problemi al seno

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Most women develop breast pain (mastalgia) at some stage in life. In most cases the pain develops in the days just before a period.
di Dr Hayley Willacy, FRCGP

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Noduli al seno
Finding a lump in your breast can cause a lot of anxiety. Most breast lumps, particularly in younger women, are not caused by cancer.
di Dr Hayley Willacy, FRCGP
Domande frequenti
What are some common breast problems?
Common breast problems include lumps, pain and tenderness, mastitis (breast infection), nipple discharge, inverted nipples, and changes in the skin of the breast.
When should I be concerned about nipple discharge?
You should be concerned about nipple discharge if it affects only one breast, is bloodstained, or if you also find an abnormal lump in the same breast. These could be signs of an underlying breast problem like breast cancer, and you should get them checked.
What might cause a nipple to become inverted later in life?
If a nipple becomes inverted later in life, some possible causes include injury to the breast, breast surgery, breast cancer, breast infections like mastitis, or rapid and significant weight loss. It's important to have any new inversion checked by a professional.
When should I be worried about changes in the skin of my breast?
You should seek medical advice immediately if you notice changes in the skin of your breast such as itching, scaling, dimpling, swelling, redness, or other changes in skin colour. While often not serious, these changes can sometimes be caused by breast cancer, making prompt checking important.
Can certain medications cause nipple discharge?
Yes, certain medications like the combined oral contraceptive pill, cimetidine, antidepressants, or metoclopramide can cause nipple discharge. Some gland (endocrine) problems, such as a prolactinoma, can also be a cause.
Ulteriori letture e riferimenti
- Perry MC; Breast Lump
- Breast pain - cyclical; NICE CKS, agosto 2021 (accesso solo Regno Unito)
- Salzman B, Collins E, Hersh L; Common Breast Problems. Am Fam Physician. 2019 Apr 15;99(8):505-514.
- Problemi di allattamento al seno; NICE CKS, febbraio 2022 (accesso solo Regno Unito)
Informazioni sull'autoreVisualizza il profilo completo

Dr Colin Tidy, MRCGP
Medico di base, Autore medico
MBBS, MRCGP, MRCP (Paediatrics), DCH
Il Dr Colin Tidy è un medico del NHS, con sede nell'Oxfordshire.
Informazioni sul recensoreVisualizza il profilo completo

Dr Rosalyn Adleman, MRCGP
MRCGP
La Dott.ssa Rosalyn Adleman è un medico di base del NHS che lavora nel nord di Londra.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 13 Ott 2027
31 Ott 2022 | Ultima versione
23 Nov 2017 | Pubblicato originariamente
Autore:
Dr Colin Tidy, MRCGP

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