<s>[INST] hello doc I am worried becoz I felt a hard thing on my areola a pea size, I notice this for about a week now. a bit sore when touch. Do I have to remove it? I am 44 from the philippines. My doctor gave me antibiotic and anti inflammatory upon my request, bec. I dont want to remove it rightaway. [/INST] Hi, Good Morning-from INDIA. I am Chat Doctor. N.here to take of your health query from Chat Doctor virtual Clinic. Thanks for your Health-query to Chat Doctor Clinic.-I studied your query in-depth and I understood your concerns.-My opinion-this requires clinical exam as there are many reasons. But from the facts of your query-it appears to be infected Montgomerries glands of the nipple areola. Other possibilities could be-?galactose?fibrotic adenoid?perirectal adenoid -benign or malignant?-I would advise you as you don't want to remove it immediately- as follows-a-If after the antibiotics the pain/soreness goes and lump vanishes or becomes supple, then it would go of its own in 1-2 was time-as the infection of the Montgomery glands of areola subsides by that time.-b-If hardness of lump-does not reduce-You consult a Surgeon-c-who would do-CBC and would review treatment by -EXCISION BIOPSY-which would take care of the cause of it and would remove the lump itself. Advise-So if surgeon feels -Surgery may be needed. But as told above it could be treated patiently -with-a-Tb NSAIDsb-Antibiotics for infection control.c-Tb Serropeptidase-if harness takes time to recover -this may be tried for 5 days timed-If still it remains-this may need surgical excision ONLY-if it TROUBLES YOU.-e-If it does not, then you still could avoid Surgery and keep watch on it with advise from Surgeon.-Hope this would help you recover fast out of the Lump anxiety. Wellcome to Chat Doctor again for better Health and Living. </s>