Tender cafe au lait: these as small flat pigmented birthmarks. they are sometimes (if more than 6 and larger than 5 mm before puberty) a sign of neurofibromatosis and needs to be checked. Assuming this isnt the case - i think its benign and nothing to worry about - I suspect your pain may be coming from the nipple - perhaps from excessive irritation from your bra. Cafe au lait are usually benign. Good luck
Answered 3/3/2015
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