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Breast Lumps - Breast Cysts

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Breast Cysts

Breast Cysts are generally 1 to 2 cms in size and are due to degeneration of breast tissue after the reproductive years.

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Breast Cysts are common lumps that usually presents in the perimenopausal age group i.e 35 to 50 years age group. This is also the age group when the incidence of cancerous lumps also go up. They generally disappear after menopause.

Cyst are fluid filed sacs that maybe single or multiple and maybe present in both the breasts. They feel like soft grapes or small water-filled balloon and are often seen on mammograms and if large maybe palpable as distinct soft lumps on self examination.

They are more common in woman on hormone replacement therapy (HRT).

The cause of these cysts is due to degeneration of the fibroglandular tissue of the breast in woman who have crossed their reproductive age - after the age of 35 years. The degeneration causes empty spaces which forms cysts when filled with fluid.

An ‘ultrasound scan’ helps in making the diagnosis and can easily differentiate between a solid or cystic lump. Under its guidance a 23 gauge fine needle can be used to aspirate these cysts and the aspirate can then be sent to the pathologists to look for malignant cells.

The cyst can be considered benign if the following criteria is met -

  1. The aspirate is clear or milky, and not bloody
  2. The lump disappears after aspiration.
  3. The cytology of the aspirate is negative for malignant cells.

If the above criteria are not satisfied, a surgical excision of the cyst is advised to rule out malignancy.

In 20% of the cases the cysts recur and may require a repeat aspiration. If the same cyst is apirated more than 3 to 4 times surgcial excision is advised.

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Comments

tracycor

I have Fibroadadenosis...pain in my brests before a period some time two weeks before..both brests swell and hurt to touch. I had a course for facial boils i my thirtys and when on to Accutane i had NO syptoms for three months? i did report this to my GP at the time. How ever this drug is only short term usage and can be dangerous for pregnant ladies.

ss810

hi i am 25 year old unmarried. i had found lump in my right breast in january 2005 than a operation was done in oct. 2006. it was a fibroadenoma. after that i had diagnosed wih PCOD in right overy in june 2009. than in may 2011 i found a lump in my left breast near nipple and the same time found white nipple discharge i m on cabgolin .25 tab from last 7 munths. now the size of lump is about 2 cm. and some time i feel a sharpe pain in breast. my surgen again advised me for surgery but i dont understand is it right to go for a surgery right now or not please help me. and thanks

PAKumar

Hi My wife has been diagnosed with Hypoechoic lesion left inner quadrant size 13.7x12.7mm Reveals soft tissue lesion and rest of the all quadrants appear normal.The Impression by the Doctor is"Cyst chest left inner quadrants' advised for Excision biopsy. What will be the estimated cost for this? Pls guide me.

Dr.sajeevKumar

My daughter was diagnosed to have fibroadenosis following a small lump in breast. It was surgically removed and biopsy showed fibroadenoma. Could a better diagnostic method could have avoided surgery and was it unnecessary as even fibro adenoma can followed up as she is only 20 years old????

sangfroid

is the surgery of breast lump included in insurance policies[mediclaim]??

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