early signs of breast cancer pictures early signs of breast cancer pictures

What is the latest research on the form of cancer Jimmy Carter has? There is no guaranteed way to prevent breast cancer, but there are certain steps a person can take to lower their risk. This condition generally does not cause symptoms. Anders CK, et al. If breast cancer is common in your family tree, you are likely at increased risk of developing it. For reprint requests, please see our Content Usage Policy. American Cancer Society medical information is copyrightedmaterial. Breast cancer risk assessment and screening in average-risk women. It may also feel warm or be tender. Thickness, heaviness or visible enlargement of one breast Discoloration, giving the breast a red, purple, pink or bruised appearance Unusual warmth of the affected breast Dimpling or ridges on the skin of the affected breast, similar to an orange peel Tenderness, pain or aching Frequently medical therapy, such as endocrine therapy or chemotherapy will be recommended first to decrease the size of the tumor in the breast, or decrease the disease and the lymph nodes, and importantly to evaluate the response of the cancer to the treatment. How to Help, Pain under Your Right Breast That Is Sharp, 6 Possible Causes of Yellow-Colored Discharge Prior to Period, Treating and Preventing Vaginal Ingrown Hairs, Has skin that looks dimpled or ridged like an orange, Has larger lymph nodes under the arm or around the collarbone, Has a flatter nipple or one that is turned inward, Turns inward (Usually, nipples that turn inward, or inverted nipples, are nothing to be concerned with, but it could be a symptom of IBC. Breast cancer signs and symptoms. However, this doesn't make a diagnosis easier, but it does mean a great deal of research and effort is being put towards ending it and it's working. 6th ed. UpToDate. Consumer Health: What do you know about hepatitis? WebSwelling of all or part of a breast (even if no lump is felt) Skin dimpling (sometimes looking like an orange peel) Breast or nipple pain Nipple retraction (turning inward) Nipple or breast skin that is red, dry, flaking, or thickened Nipple discharge (other than breast milk) Inflammatory Breast Cancer Pictures and Symptoms The symptoms of IBC include a breast that: Quickly changes appearance Looks larger, thicker or heavier Feels very warm Has skin that looks dimpled or ridged like an orange Is tender, aches or feels painful Has larger lymph nodes under the arm or around the collarbone A genetic counselor can also discuss the benefits, risks and limitations of genetic testing to assist you with shared decision-making. All of that changes what you're feeling and where things are in your breasts, because breasts are mobile. Weba change in the size or shape of one or both breasts a discharge of fluid from either of your nipples a lump or swelling in either of your armpits a change in the look or feel of your skin, such as puckering or dimpling, a rash or redness a rash (like eczema), crusting, scaly or itchy skin or redness on or around your nipple Metastatic breast cancer refers to breast cancer that has spread to other parts of the body. New lump in the breast or underarm (armpit) Thickening or swelling of part of the breast Irritation or dimpling of breast skin Redness or flaky skin in the nipple area of the breast But be aware that they do seem to play a role in breast cancer risk. Find someone to talk with, maybe a friend, relative, clergy member, or medical social worker. Several benign breast conditions can cause symptoms that resemble those of cancer. Mammary, Boob, Body, Organs, Physical, Sickness, Health. American cancer society guidelines for diet and physical activity. Find out symptoms for benign breast conditions, precancers, and DCIS. TODAY spoke to several experts who explained what to be aware of and when you should see a doctor. The most common symptoms of early-stage breast cancer are new lumps, changes to skin texture or color, dimpling, and swelling. With new and constantly improving therapies and expert care, there is plenty of hope. AskMayoExpert. Common symptoms of breast cancer include: There are several kinds of breast cancer. Sabel MS. Clinical manifestations, differential diagnosis, and clinical evaluation of a palpable breast mass. But there are ways to deal with that too. Irritation or dimpling of breast skin. We avoid using tertiary references. Concept of breast pain, breast cancer awareness or menstrual pain. Beyond that, radiation exposure at any point in your life increases your risk of breast cancer. Breast cancer. The perfect tummy control bodysuit, a popcorn gadget, more bestsellers starting at $8. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. These medications carry a risk of side effects, so doctors reserve these medications for women who have a very high risk of breast cancer. Leading new cancer cases and deaths 2017 estimates. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Is it sensitive to hormones? Pruthi S (expert opinion). Actions that may lower the risk of breast cancer include: Typically, the diagnostic procedure begins with an examination of the breast. Accessed June 28, 2017. JAMA Internal Medicine. This kind begins in the glands that make milk, called lobules. Breast pain in a specific area, something that you can point to with one finger, that isn't tied to your menstrual cycle is cause for concern. Last Updated 04 March, 2023. Doctors typically find lobular carcinoma in situ during a breast biopsy for another problem in the breast area. most common sign of breast cancer is a lump. Make note of any changes you notice in your breasts. Get medical care as soon as possible if you also have signs of an infection such as redness, swelling, or discharge. See pictures of breast cancer, cysts, and calcifications. Lumps and bumps may be the first signs people think of when they think of breast cancer detection, but there are several more signs that people should be on the lookout for. A retracted or an inverted nipple. What you need to know about breast cancer. All rights reserved. Mediterranean diet and invasive breast cancer risk among women at high cardiovascular risk in the PREDIMED trial. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. https://www.cancer.gov/types/breast/hp/breast-prevention-pdq. Regular mammograms are the best tests doctors have to find breast cancer early, sometimes up to three years before it can be felt. The same survival rate for cancer that has spread to other organs is 29%. Cancer cells blind your body's natural defense systems. The outlook on breast cancer has improved immensely. Dr. Judy Song, chief of breast imaging at MedStar Health, added that at different points in your menstrual cycle, you may have more lumps and bumps, so being familiar with those changes can help you understand what's normal on your chest. Our team is made up of doctors andoncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. This image shows two mammograms of normal, dense breasts. You may notice: Without treatment, breast cancer can spread to other parts of your body, including other organs. Pruthi S, et al. Set by the GDPR Cookie Consent plugin, this cookie is used to store the user consent for cookies in the category "Performance". But opting out of some of these cookies may affect your browsing experience. Different types of breast cancer may cause different symptoms, including swelling, pain, discharge from the nipple, and changes to the feel and appearance of the breasts. Together, were making a difference and you can, too. AskMayoExpert. Rarely, a person may notice a lump in the breast or some discharge from the nipple. Records the default button state of the corresponding category & the status of CCPA. I tried to feel for a tumor, but my tumor was non palpable. As with the first image, the dark areas are fatty tissue, and the light areas are denser tissue that contains ducts, lobes, and other features. Philadelphia, Pa: Elsevier; 2020. Make a donation. In some cases, it may spread to other parts of the body. As with the first image, the dark areas are fatty tissue, and the light areas are denser tissue that contains ducts, lobes, and other features. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Know Your Lemons Foundation displays the 12 signs of breast cancer to help women and men find breast cancer as early as possible. Symptoms may look like eczema and include: Read more on the causes and symptoms of Paget's disease. I'm Dr. Judy Boughey, a breast surgeon at Mayo Clinic. They usually occur on areas of skin exposed to the sun like the scalp or ear. Breast cancer is cancer that forms in the cells of the breasts. Whether you or someone you love has cancer, knowing what to expect can help you cope. Check Inflammatory Breast Cancer Pictures images to examine itchy, rash, bruises, red spots, discoloration or pain in breasts with early signs & symptoms. Pulling in of the nipple or pain in the nipple area. The most common symptom is a lump in your breast or armpit. This cookie is set by the Google recaptcha service to identify bots to protect the website against malicious spam attacks. The ACS estimates that in 2022, doctors in the United States will diagnose about 2,710 breast cancer cases in males. Lobular carcinoma in situ refers to an area of abnormal cells confined to the breasts milk-producing glands. What Are the Stages and Grades of Breast Cancer? Woman sits on a bed and holds her breasts. But what does a breast cancer lump actually feel like? Pain in any area of the breast. Some of these issues require treatment, while others go away on their own. "Don't be shy to ask to see the images and get an understanding of what your breast makeup is," she said. These symptoms are caused by the buildup of fluid (lymph) in the skin of the breast. IBC symptoms from the National Cancer Institute (2016): Symptoms of inflammatory breast cancer include swelling (edema) and redness (erythema) that affect a third or more of the breast. Knowing how your breasts normally look and feel is an important part of your breast health. Because some forms of breast cancer may not cause symptoms in the early stages, its important to attend regular screenings and conduct breast self-exams. Is the ketogenic diet right for autoimmune conditions? Learn about follow-up after an abnormal mammogram. The American Cancer Society medical and editorial content team. It can also cause a breast lump or bloody discharge. WebThickening or swelling of part of the breast. It is important to seek medical attention for: As with most cancers, early breast cancer detection and treatment leads to a better outcome. Most dont notice any signs at all. In December of 2015 when I saw an indentation that looked like one of those pictures, I instantly knew I had breast cancer. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. These cells divide more rapidly than healthy cells do and continue to accumulate, forming a lump or mass. Self breast awareness is one. See pictures of breast cancer, cysts, and calcifications. Swelling of all or part of the breast. If you have any of these signs or symptoms, tell your primary care physician. Nipple discharge other than breast milk, including blood. Breast Self-Exam. National Cancer Institute. However, having ductal carcinoma in situ can increase the risk of developing invasive breast cancer later. Accessed June 28, 2017. Cancer Information, Answers, and Hope. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Research. As with the first image, the dark areas are fatty tissue, and the light areas are denser tissue that contains ducts, lobes, and other features. Inflammatory breast cancer is an infrequent, aggressive type One of the first symptoms women experience is the breast appearing to be red, pink or purple. "Any unusual thickening, redness, rash, dimpling, or puckering of your breast skin, or around the nipple, should be checked out by your doctor," she explains. In its early stages, invasive ductal carcinoma may not cause symptoms. Song said that if you do have these tests done, there's nothing wrong with asking your doctor for as much information as possible. Lobular carcinoma in situ (LCIS). Woman Wearing White Bra And Breast Cancer Symptoms Icons Set. We can also help you find other free or low-cost resources available. WebPerhaps the most recognized symptom of breast cancer is a lump or mass in the breast tissue. Know Your Lemons Foundation displays the 12 signs of breast cancer to help women and men find breast cancer as early as possible. See pictures of breast cancer, cysts, and calcifications. Thanks to Dr Charlotte Proby for her permission and the photography. These growths all produce varying degrees of pain or discomfort. Set by the GDPR Cookie Consent plugin, this cookie is used to record the user consent for the cookies in the "Analytics" category . American Congress of Obstetricians and Gynecologists. WebCommon symptoms of breast cancer include: A lump in your breast or underarm that doesnt go away. Regular mammograms are the best tests doctors have to find breast cancer early. For male bodies, a hard lumps right near the nipple are the most prominent warning sign of breast cancer. Limit alcohol, while not drinking lowers your risk the most. There can be a wide range of early signs of breast cancer, including lumps and bumps. It may also be found in the lymph nodes of the breast, under the arm or in tissues close to the breast. Woman sits on a bed and holds her breasts. Get an overview on triple-negative breast cancer symptoms and treatment. A lump in your breast or armpit. A number of inherited mutated genes that can increase the likelihood of breast cancer have been identified. There are a wide set of risk factors. Squamous cell skin cancers can vary in how they look. "When something is hard and doesn't move around, like you're rolling a marble on a table under your hand, (that) is more concerning," she said. Accessed July 3, 2017. Doctors find 90% of cases through mammography. Approximately 530 males will die from the disease in the same year. Breast Self-Exam. This type of breast cancer is so aggressive that by the time patients notice symptoms, it may have already spread to the lymph nodes under the arm or around the collarbone, making them appear swollen. Other symptoms of inflammatory breast cancer include a rapid increase in breast size; sensations of heaviness, burning, or tenderness in the breast; or a nipple that is inverted (facing inward). AskMayoExpert. Associations between cancer predisposition testing panel genes and breast cancer. Swollen lymph nodes may also be present under the arm, near the collarbone, or both. Pain management and other palliative care can help you deal with all these necessary but difficult processes. Regular mammograms are the best tests doctors have to find breast cancer early, sometimes up to three years before it can be felt. There can be a wide range of early signs of breast cancer, including lumps and bumps. Most importantly, because these things may or may not be cancer, be sure to check with your doctor if you notice any of these signs. While they don't make breast cancer a certainty, your chances of developing it, are much higher with these particular mutations. You might not be able to move it separately from your skin or move it at all. sign up for email This skin cancer image gallery is supported in part by Regeneron. Warner KJ. About 1 in 5 new breast cancers are ductal carcinoma in situ (DCIS). This is often the first symptom of breast cancer. Breast cancer lumps are hard and don't move. Dimpling or pitting of the breast skin, resembling an orange peel. Or, a person may experience: Ductal carcinoma in situ refers to an area of abnormal cells on one milk duct. It begins in your ducts. Some women experience bothersome signs and symptoms during menopause and, for these women, the increased risk of breast cancer may be acceptable in order to relieve menopause signs and symptoms. WebThis is why its important to see a doctor if you have any lumps, bumps, spots, sores, or other marks on your skin that are new or changing, or that worry you for any other reason. There are many different types of breast cancer. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. Watch for: Symptoms of Pagets disease of the breast. In fact, it is the most common cancer worldwide and the most common cancer diagnosed in the US. 2005 - 2023 WebMD LLC. Finally, we look into some benign conditions people may mistake for breast cancer. It may also be found in the muscles of the chest or in the ribs. Necessary cookies are absolutely essential for the website to function properly. Mayo Clinic is a not-for-profit organization. This is often the first symptom of breast cancer. What is it? Available Every Minute of Every Day. WebVector illustration. ", However, there are also a lot of innocent reasons behind the lumps and bumps on your breast. The only IBC charity helping patients for over 20 years! In Stage IIIC, inflammatory breast cancer pictures may show cancer in the lymph nodes by the neck or under the collarbone. (2021). Set by the GDPR Cookie Consent plugin, this cookie is used to record the user consent for the cookies in the "Necessary" category . A breast lump or thickening that feels different from the surrounding tissue, Change in the size, shape or appearance of a breast, Changes to the skin over the breast, such as dimpling, Peeling, scaling, crusting or flaking of the pigmented area of skin surrounding the nipple (areola) or breast skin, Redness or pitting of the skin over your breast, like the skin of an orange. This develops in the breasts lobules glands that can produce milk and invades nearby breast tissue. IBC symptoms from the National Cancer Institute (2016): Symptoms of inflammatory breast cancer include swelling (edema) and redness (erythema) that affect a third or more of the breast. Thanks to Dr Charlotte Proby for her permission and the photography. Others include skin changes, pain, a nipple that pulls inward, and unusual discharge from your nipple. Tax ID Number: 13-1788491. Kerger said that many changes can occur near the nipple and areola: Any change in that area, including color or inversion of the nipple, should be mentioned to your doctor. The skin of the breast The older you get, the more likely a breast cancer diagnosis becomes. The cookie is set by the GDPR Cookie Consent plugin to record the user consent for the cookies in the category "Functional". Talk to your doctor about the benefits and risks of screening. This kind tends to grow and spread faster than other types, and doctors treat it differently. "Any unusual thickening, redness, rash, dimpling, or puckering of your breast skin, or around the nipple, should be checked out by your doctor," she explains. These growths all produce varying degrees of pain or discomfort. Peeling, scaling or flaking of the areola and redness or pitting of the skin of your breast that looks like an orange. While most medical organizations don't recommend breast self-exams as part of a cancer detection screening, experts told TODAY that women can still benefit from knowing what their breasts typically look and feel like. WebMD does not provide medical advice, diagnosis or treatment. Increase in breast size or shape (over a short period of time) Changes in touch (may feel hard, tender or warm) Peeling or flaking of the nipple skin. Contains a unique code for each customer so that it knows where to find the cart data in the database for each customer. The most common symptoms of early-stage breast cancer are new lumps, changes to skin texture or color, dimpling, and swelling. Find out symptoms for benign breast conditions, precancers, and DCIS. What happens when breast cancer metastasizes in the lungs? Surgeon and breast unit volume-outcome relationships in breast cancer surgery and treatment. A retracted or an inverted nipple. Early warning signs of invasive breast cancer. Mammary, Boob, Body, Organs, Physical, Sickness, Health. The symptoms of IBC include a breast that: Unlike other forms of breast cancer, there is no lump formation with IBC. "It is easier to do a test than find out later.". for video What is breast cancer? Allscripts EPSi. Another factor is age. If the inverted nipple doesnt turn outward again, contact a healthcare provider for a breast exam. Aromatase Inhibitors: Did you decide to go on them or not? "Because (men) normally do not have breasts in the way women do, they may notice a lump or a dimple or a change in skin color on their breast that would indicate the presence of a breast cancer," said Jones. We also use third-party cookies that help us analyze and understand how you use this website. Cancerrelated fatigue. The following breast changes can be symptoms of breast cancer: Many of these changes can also result from other noncancerous health issues. That doesn't mean men don't get it. Dimpling or pitting of the breast skin, resembling an orange peel. American College of Surgeons. (2022). Jones also said that dimpling, which usually looks like an indentation, is a warning sign. Become familiar with your breasts through breast self-exam for breast awareness. Just like any cancer, breast cancer results from DNA mutations that instruct your cells to grow out of control. Learn more from breast surgeon Judy C. Boughey, M.D. This image shows two mammograms of normal, dense breasts. What are the signs of breast cancer in men? If a woman is at all concerned, even if it may be nothing she should always err on the side of caution," said Dr. Jessica Jones, a breast oncologist at UTHealth Houston and Memorial Hermann in Houston, Texas. A mammogram is an X-ray picture of the breast. In December of 2015 when I saw an indentation that looked like one of those pictures, I instantly knew I had breast cancer. Try to: Ask your doctor about breast cancer screening. Townsend CM Jr, et al. A mammogram is an X-ray picture of the breast. National Cancer Institute. Accessed at https://www.uptodate.com/contents/clinical-manifestations-differential-diagnosis-and-clinical-evaluation-of-a-palpable-breast-mass on October 13, 2021. Screening mammography can often help find breast cancer early, before any symptoms appear. WebVector illustration. This can all feel overwhelming. We couldnt do what we do without our volunteers and donors. If there is a new change, lumps or other unusual signs in your breasts, talk to your doctor promptly. Kerger said that any new lump "is a problem" that you should bring to a doctor. Breast Cancer Early Detection and Diagnosis, Making Strides Against Breast Cancer Walks, ACS Center for Diversity in Research Training, American Cancer Society Recommendations for the Early Detection of Breast Cancer, Newer and Experimental Breast Imaging Tests. Symptoms more specific to invasive breast cancer are: Irritated or itchy breasts. Breast cancer can come back, or recur, long after treatment. Inflammatory breast cancer is an infrequent, aggressive type If you have notice a breast lump that grows in size or otherwise changes, report it to your doctor. Many of them share symptoms. Cancer is most likely to come back in the first 2 years after treatment. Estrogen-blocking medications, such as selective estrogen receptor modulators and aromatase inhibitors, reduce the risk of breast cancer in women with a high risk of the disease. National Cancer Institute. This condition rarely causes symptoms. People should become familiar with the typical look and feel of their breasts to detect any changes early on. Its named for the tiny lumps, or papules, on the tumor. Irritation or dimpling of breast skin. From mammograms to living after treatment. Immunotherapy pulls off those blinders, so your body's natural defenses can do their job and zero in on that target. 2013;258:808. Some cancers are sensitive to hormones and can be treated with a different set of drugs. The doctor will feel for lumps within the tissue and may also check the lymph nodes. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017. You can learn more about how we ensure our content is accurate and current by reading our. Breast lumps that are a warning sign of cancer can also be located under the armpit. If you suspect you might have breast cancer. Each breast contains 15 to 20 lobes of glandular tissue, arranged like the petals of a daisy. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. As these inflammatory breast cancer picture shows, the texture of the breast may change and appear to look dimpled or ridged, like an orange peel. According to Know Your Lemons, a nonprofit global organization that focuses on making information about breast cancer warning signs and detection methods accessible, a hard lump is a common sign of cancer. Remember there are often non-visual symptoms that include itching, pain, and skin thickening. While changes in breast appearance may not always indicate breast cancerswelling, discharge changes to the nipple, inflammation, or pain are reasons to see a doctor. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization. Breast cancer can occur in both men and women, but it's far more common in women. "And you should do it in the same manner, whether you're in the shower, lying in bed, sitting up. Research and scientific advancement have made this disease a very treatable one. Early breast appearance changes that could signal breast cancer include: 4 1. This type often happens along with ductal carcinoma. According to the American Cancer Society (ACS), the most common sign of breast cancer is a new lump or mass in the breast. Small tubes (ducts) conduct the milk to a reservoir that lies just beneath your nipple. It's likely that breast cancer is caused by a complex interaction of your genetic makeup and your environment. Consider asking your doctor for a referral to a genetic counselor, who can review your family health history. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. It is important to rule out cancer as a possible cause. There are things that can decrease your risk. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.cancer.org/healthy/cancer-causes/diet-physical-activity/alcohol-use-and-cancer.html, https://www.cancer.org/healthy/eat-healthy-get-active/acs-guidelines-nutrition-physical-activity-cancer-prevention/guidelines.html, https://www.cancer.org/cancer/breast-cancer/about/types-of-breast-cancer/angiosarcoma-of-the-breast.html, https://www.nhs.uk/conditions/breast-cancer-in-men/, https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-cancer-signs-and-symptoms.html, https://www.cancer.gov/types/breast/breast-changes, https://www.breastcancer.org/types/ductal-carcinoma-in-situ, https://www.cancer.org/cancer/breast-cancer/about/types-of-breast-cancer/inflammatory-breast-cancer.html, https://www.cancer.org/cancer/breast-cancer/about/types-of-breast-cancer/invasive-breast-cancer.html, https://www.cancer.org/cancer/breast-cancer-in-men/about/key-statistics.html, https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/lobular-carcinoma-in-situ.html, https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/phyllodes-tumors-of-the-breast.html, https://www.ajronline.org/doi/full/10.2214/AJR.17.19088, https://www.ncbi.nlm.nih.gov/books/NBK567766/, https://www.cancer.org/cancer/breast-cancer/about/types-of-breast-cancer/triple-negative.html, https://www.cancer.org/cancer/breast-cancer/about/types-of-breast-cancer.html, https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm, https://www.cancer.org/cancer/breast-cancer-in-men/about/what-is-breast-cancer-in-men.html, Cardiovascular health: Insomnia linked to greater risk of heart attack. Woman Wearing White Bra And Breast Cancer Symptoms Icons Set. However, if a person notices any changes in their breast tissue, they should see a doctor as soon as possible. Symptoms of inflammatory breast cancer (IBC). In December of 2015 when I saw an indentation that looked like one of those pictures, I instantly knew I had breast cancer. These cookies ensure basic functionalities and security features of the website, anonymously. The most common symptoms of early-stage breast cancer are new lumps, changes to skin texture or color, dimpling, and swelling. Epidemiology, risk factors and the clinical approach to ER/PR negative, HER2-negative (triple negative) breast cancer. WebCommon symptoms of breast cancer include: A lump in your breast or underarm that doesnt go away. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Weba change in the size or shape of one or both breasts a discharge of fluid from either of your nipples a lump or swelling in either of your armpits a change in the look or feel of your skin, such as puckering or dimpling, a rash or redness a rash (like eczema), crusting, scaly or itchy skin or redness on or around your nipple