Mass in the Breast
A palpable mass in the breast is a common finding. Breast mass causes great fear in women because it is an important breast cancer finding. Hardness in the breast that appears in the second period of the menstrual period and shrinks or disappears with menstruation is most likely a formation we call a breast cyst. A mass in the breast may also be a sign of breast cancer. When a mass is detected in the breast, it must be investigated.
Cyst in the Breast
If the hardness of the breast is palpable, this is the formation we most commonly call a cyst in the breast. A breast cyst is a sac filled with water. (bubble). Since the breast is a secretory organ, it is quite common to see cysts in the breast. It can grow in the second half of menstruation. It can cause pain at times. Sometimes it can reach 3-5 cm in diameter. If the cyst grows too large (greater than 2.5 cm) in the breast, it causes pain. For this reason, the enlarged breast cyst can be entered with a syringe needle and the fluid inside can be drained.
Simple cyst in the breast
The wall of the cyst is smooth. The liquid inside is homogeneous (in the same regular structure). There is no vascular structure in the mass. A simple cyst never develops into cancer: therefore, it does not need to be followed up.
Complicated cyst in the breast
Sometimes several breast cysts come together and It forms a cluster-like appearance: or it can be seen divided into different compartments within a cyst. This type of cyst is called a complicated cyst. Ultrasound follow-up of this group of cysts is recommended several times with an interval of 6 months.
Cyst protruding into the cavity in the breast wall
From the wall of the pelvic cyst into the cyst there may be a protrusion (intramural protrusion). In this case, a piece should be taken and investigated for cancer.
Cyst with dense content in the breast
Sometimes, the fluid in the breast cyst can be extremely dense. In this case, it is not possible to distinguish between a liquid-filled or a cell-filled solid mass. For this reason, it is recommended to be followed at short intervals.
Cyst with an irregular internal structure in the breast
Sometimes, there may be bleeding into the cyst in the breast or there may be tissue residues in it. . This gives the appearance of an inhomogeneous structure on the ultrasound view. Examine these cysts too It may be necessary to measure and follow up.
Diagnosis of Breast Cyst
The most important information about the internal structure of a mass detected in the breast is whether the mass is filled with fluid (cyst) or not. It is knowing whether it is full of cells (solid). The diagnostic method for a cyst in the breast is ultrasound. The treatment method is determined according to the above-mentioned features of the internal structure.
In cases where breast ultrasound cannot be performed, an injector tip is inserted into the mass and the structure inside is tried to be drawn into the injector. If it is a cyst, the fluid in it comes to the injector, if it is a solid mass, the fluid does not come to the injector.
Treatment
The majority of cysts detected in the breast are treated there is no need. If it is a simple breast cyst, it is ignored, even follow-up may not be necessary. If it is a complicated cyst or a cyst with dense content, ultrasound is performed 2-3 times with 6-month intervals to monitor whether there is a change. The fluid drawn with the injector is absolutely sent to the pathology and the cells inside are examined.
If the fluid drawn with the injector is bloody, pathological examination is absolutely necessary. When necessary, the entire cyst should be surgically removed and examined.
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