Patient's question:
Main symptoms: Multiple cysts in both left and right breasts. What are the good medications for treatment?Doctor's answer:
Breast cysts, also known as galactorrhea, are formed during lactation due to the blockage of milk flow in one glandular lobe, leading to the accumulation of milk within the breast. Clinically, the main presentation is a breast mass, which is often misdiagnosed as a breast tumor. Clinically, breast cysts are commonly caused by the compression of breast structural abnormalities, inflammation, or tumors. When the epithelial cells of the breast lobules or ducts are shed or blocked by other substances, milk flow becomes obstructed, leading to stagnation within the ducts. This results in duct dilation and the formation of cysts. Cysts can secondary infection, leading to acute mastitis or breast abscess. If no infection occurs, they can persist for a long time, with the cystic content becoming thicker. Over time, as water is absorbed from the cyst, it may become hardened. The cyst wall is composed of a thin layer of fibrous tissue, lined with a very thin layer of epithelial cells, which may even be shed in some areas. The cyst contains pale red, amorphous material and foamy cells that have phagocytosed milk. In the stroma surrounding the cyst, there is a significant infiltration of mononuclear cells, epithelioid cells, multinuclear giant cells, lymphocytes, and plasma cells. Small duct dilation and lactating glandular lobular tissue can also be observed. This condition is a benign breast lesion, and once discovered, surgical excision should be considered. The surgery involves the simple excision of the mass.