Patient's question:
What are the treatment methods for breast cysts? What methods are currently used to treat this disease? Are there many methods? What factors should be considered when choosing a method.Doctor's answer:
Nipple duct stenosis or blockage, milk stasis in the corresponding acini and terminal ducts, acinar necrosis, and fusion to form cysts of varying sizes, resembling spherical shapes. The cysts are unilocular or multilocular, with sizes ranging from several millimeters to several centimeters. The cyst fluid is viscous, like cheese 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 lactation or massage) and gradually increases. It no longer enlarges after stopping lactation.1. Milk Stasis Cyst: If a breast mass is found, needle aspiration and fluid extraction can confirm the diagnosis. The treatment for milk stasis cysts is primarily surgical. For women who no longer plan to have children, needle aspiration can be performed to avoid surgical removal.
2. Simple Cyst: Diagnosis is relatively easy based on the above clinical manifestations. Most simple cysts require surgical treatment. However, the possibility of malignancy must be ruled out before surgery to determine the scope of the procedure. Breast cysts are benign lesions of the breast. Once discovered, surgical removal should be considered. The surgery involves simple excision of the mass. If the patient is breastfeeding and has secondary infection, the infection should be controlled, and lactation should be suspended before the mass is excised and sent for pathology examination.
Breast cysts are rarely seen and are benign lesions of the breast. The aggregated breast epithelial cells show significant apocrine secretion, which is retained in the duct tissue to form cysts. Breast cysts are most commonly located in the central breast, around the nipple, especially above the nipple. They are more common in middle-aged women. Patients often have a history of breast inflammation or trauma, leading to obstruction of large duct openings. The masses are usually solitary, ranging in size from a peanut to a table tennis ball, with diameters of 5 centimeters or more. They are spherical, smooth externally, with clear boundaries to surrounding tissues, mobile, 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, cyst fluid can be aspirated and injected with iodine-based contrast dye to stimulate the cyst wall, allowing the cavity to close spontaneously. If the cyst fluid is bloody and does not disappear after multiple aspirations, surgical removal should be performed. In a few cases, they may resolve spontaneously after menopause.