Cyst formation in the breast is a very common change. Studies show that almost all women experience fibrocystic breast changes at some point in their lives. However, this change is not cause for concern. Changes in women's hormones such as stress, extreme fatigue, and menstrual irregularities are frequently encountered.
First of all, what is Fibrocystic Breast Change?
Fibrocystic breast change, which is frequently seen in women, is a common symptom of breast mass, pain, nipple and nipple changes. It is a condition that can cause complaints such as gray-green discharge, and it is not a disease. It is characterized by cysts of various sizes, edema and tenderness in the breast.
Should We Be Afraid of Cysts?
Cysts are round formations filled with fluid and surrounded by a thin membrane. Sometimes they can be very small (micro cyst), sometimes large (macro cyst). They are classified as simple, complicated and complex cysts according to ultrasound images. When simple cysts are very common in the breast, the breast should be followed up with radiological methods, as it may prevent the detection of other underlying lesions. Some cysts may enlarge into small chambers (complicated cyst). Some cysts may have a different appearance. Irregularities and formations called papillomas may develop in the cyst wall (complex cyst). These should be followed by ultrasonography and biopsy should be performed when necessary.
When is the Fluid in the Cyst Emptyed?
No action is required in simple cysts. If it reaches very large dimensions and creates extreme pain and an asymmetrical appearance, it can be emptied with a needle. If there is bleeding into the cyst or a correct irregularity or buds called papilloma are found in the cyst wall in ultrasonography, these cysts should be biopsied with ultrasonography. According to the pathological result, they should be removed and pathological examination should be performed.
Is Lesions that May Form in Fibrocystic Breast Dangerous?
There is no danger in classical simple fibrocystic changes. However, the areas of cell proliferation accompanying the picture and some pathological changes in these areas increase the risk of developing cancer in the breast. Early detection of suspicious lesions by radiological methods and biopsy It should be illuminated with i. For this reason, in the presence of fibrocystic breast, except for special cases, ultrasonography is performed at 6-month intervals, and annual mammography is added to the follow-up method after the age of 40. In some special cases, such as the presence of breast cancer in the family and the presence of a suspicious lesion in the breast, the duration of the examination may vary and magnetic resonance examination (MRI) may also be recommended. Breast pain is a common complaint in women, especially in the presence of fibrocystic breasts. Less than 10% of women presenting with only breast pain will have cancer. Pain may occur in both breasts, diffuse or in certain quadrants, in the premenstrual period, or at irregular intervals throughout the month. First, a good examination should be performed by a surgeon and the patient should be shown whether there is a pathological lesion with the necessary radiological methods. Afterwards, it is recommended to reduce foods such as cola, coffee, chocolate with a diet low in fat and salt. Pain relievers in the form of ointments or tablets, and in severe cases, various herbal remedies are used.
Is Nipple Discharge Always Dangerous?
Nipple discharge is 5-10% of breast-related complaints. constitutes as much. Gray-green discharge occurs during fibrocystic breast change, is usually seen after nipple squeezing and is not clinically significant. discharge from the nipple; If it is from one breast, one duct, spontaneous, bloody or white in color, it should be considered. Enlargement and papillomas in the mammary ducts or cancers in the mammary canal cause serous or bloody discharge from the nipple. In this case, a breast surgeon should be consulted immediately.
Is There Any Opportunity for Surgical Treatment in Fibrocystic Breast?
There is no need for a surgical intervention to clear the cysts in the breast. It is important to follow up women with appropriate radiological methods and breast examination at regular intervals. If a suspicious lesion is observed in the cyst or its wall in ultrasonography, the situation should be clarified with biopsy.
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