Patient's question:
I am from Shizhu County. I got breast cysts at the age of 27 after adding, and I don't know what to do.Doctor's answer:
Chongqing Modern Women's Hospital: Breast cysts, also known as galactorrhea, are benign lesions of the breast. The combined abnormal breast epithelial cells exhibit significant apocrine secretion and are retained in the ductular tissue, leading to the formation of cysts. Breast cysts are most commonly located in the central area of the breast, around the nipple, and are particularly prevalent above the nipple. Narrowing or blockage of the milk ducts causes milk to accumulate in the associated acini and terminal ducts, leading to acinar necrosis and fusion, forming cysts of varying sizes, resembling spherical shapes. The cysts can be unilocular or multilocular, with sizes ranging from several millimeters to several centimeters. The fluid inside the cysts is thick, cheese-like, or relatively thin milk. The main clinical manifestations are breast masses, with some accompanied by skin redness, burning sensation, or mild pain. The size of the mass can vary (decreasing after breastfeeding or massage) and gradually enlarge. The mass will no longer grow after weaning.1. Lactational Cysts: If a breast mass is discovered, needle aspiration can confirm the diagnosis. The treatment for lactational cysts is primarily surgical. For women who no longer plan to have children, needle aspiration can be performed to avoid surgical removal.
2. Simple Cysts: Diagnosis is relatively easy based on the above clinical manifestations. Most simple cysts require surgical treatment. However, it is essential to rule out the possibility of malignancy before surgery to determine the scope of the procedure.
Chongqing Modern Women's Hospital's Breast Department experts remind that breast cysts are benign lesions of the breast. Once discovered, surgical removal should be considered. The surgery involves the simple excision of the mass. If the patient is breastfeeding and has a secondary infection, the infection should be controlled, and lactation should be suspended before the mass is removed for pathological examination.
Breast cysts are rare and are benign lesions of the breast. The combined abnormal breast epithelial cells exhibit significant apocrine secretion and are retained in the ductular tissue, leading to the formation of cysts. Breast cysts are most commonly located in the central area of the breast, around the nipple, and are particularly prevalent above the nipple. They are more common in middle-aged women. Patients often have a history of breast inflammation or trauma, leading to blockage of the main duct openings. The masses are usually solitary, ranging in size from the size of a peanut to a table tennis ball. The diameter can exceed 5 centimeters. The cysts are spherical, smooth externally, with clear boundaries to surrounding tissues, movable, soft, and elastic. Some breast cysts may coexist with other breast diseases. Needle aspiration cytology should be performed for breast cysts. In some cases, under ultrasound guidance, the cyst fluid can be aspirated and injected with iodine-based contrast medium to stimulate the cyst wall, allowing the cavity to close spontaneously. If the cyst contains bloody fluid and does not disappear after multiple aspirations, surgical removal should be performed. In a few cases, the cyst may disappear spontaneously after menopause.