Nipple and Breast Swelling in Cats – Causes & Treatment

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Nipple and breast swelling

Cats have eight nipples, which run along the underside of the body in rows of two. Both female and male cats have nipples which are pale pink in colour and approximately 1cm in diameter. Nipples increase in size during both pregnancy and lactation.

In the non-pregnant cat, nipples can be hard to find under the cat’s thick layer of fur.

Causes of nipple and breast swelling in cats

Pregnancy

Pregnant cat

A female cat’s nipples will pink up and become enlarged from the third week of pregnancy, which is perfectly normal.

Mastitis

Mastitis is an infection or inflammation of the mammary gland(s) which occurs in lactating queens.

Symptoms:

Lethargy, loss of appetite, fever, the queen may refuse to nurse her kittens; if they are nursing, they may become sick.

Treatment:

Antibiotics to treat the infection and analgesics (painkillers) if necessary. Use warm compresses on the area to help the milk drain from the gland(s).

Mammary cancer

Mammary cancer is the third most common cancer in cats and is usually due to an adenocarcinoma, which is a fast-growing tumour. Unspayed older female cats are at highest risk, although it can affect spayed females and even male cats (less than 1%). Mammary cancer can affect one or multiple glands.

Symptoms:

A firm, nodular mass around one or more of the mammary glands, ulceration of the skin, milky or bloody discharge from the nipple, infection, swelling, pain and unexpected weight loss.

Treatment:

Radical mastectomy (removal of the entire mammary chain), at least on the affected side, but the surgeon may also recommend removing both chains and associated lymph nodes. Chemotherapy as a follow-up.

Galactostasis

An excessive accumulation of milk in the gland (usually due to weaning) that causes an inflammatory response.

Symptoms:

Swelling of the affected breast.

Treatment:

In most cases, treatment is not necessary as galactostasis should resolve in time.

Feline mammary hypertrophy

A benign tumour of the mammary gland which occurs most often in intact females, although it can also develop in intact males receiving hormone therapy.

Symptoms:

Hyperplasia (enlargement of the gland or glands) which develops one to two weeks after estrus or 2-6 weeks after progestin treatment.  Build up of fluid (edema) in the skin of the hind legs is also common.

Treatment:

Where possible, ovariohysterectomy (spay) the female, or remove the affected gland(s).

Mammary hyperplasia

This condition comes in two forms, Fibroepithelial Hyperplasia and Lobular Hyperplasia Fibroepithelial hyperplasia occurs most often in intact young females who can experience enlarged mammary glands between 1-2 weeks after their first heat cycle. It can also affect males undergoing hormone therapy and spayed females. Lobular hyperplasia usually occurs in older, intact cats, who are aged between 1-14 years.

Symptoms:

Pain, warmth, and ulceration.

Treatment:

Spay the intact female if possible and withdraw progesterone treatment. Painkillers can be given to relieve discomfort. Surgical removal of the affected gland if ulceration is pregnant.

Diagnosis

It is essential to investigate any swelling which develops on or around a cat’s nipple and breast tissue. During the examination, the veterinarian will perform a complete physical exam and obtain a medical history from you.

The veterinarian will check the nipples carefully, to look for swelling, pain, nipple colour and discharge. Mastitis will be suspected in the nursing queen.

Diagnostic workup:

  • Baseline tests – This will include biochemical profile, complete blood count, and urinalysis to evaluate the overall health of your cat and look for signs of infection or inflammation such an increase in white blood cell count.
  • Culture and sensitivity – A sample of discharge or milk is cultured to evaluate for bacterial infection, and several antibiotics are introduced to the bacterial culture to determine the most effective antibiotic to treat the infection.
  • Biopsy – To evaluate lumps or growths.
  • Chest and abdominal x-rays – To look for signs of cancer metastasis.