cyst is an abnormal cavity filled with liquid or semi-liquid that forms in an organ or tissue. The vast majority of cysts are benign, that is, non-cancerous. However, they can disrupt the functioning of an organ or cause pain .
A breast cyst contains fluid produced by the mammary glands . Some are too small to feel. If the liquid accumulates, you can feel an oval or round mass of 1 cm or 2 cm in diameter, which moves easily under the fingers. The cyst tends to become hard and sensitive before the menses.
According to the National Cancer Institute of the United States and the Canadian Cancer Society, breast tissue undergoes microscopic changes in almost all women in their thirties. These changes will become perceptible in 1 in 2 women, who will detect a mass or feel pain in the breasts. Nowadays, doctors consider that these transformations are part of the normal reproductive cycle.
|Having a breast cyst is not a risk factor for breast cancer. Cancer is not a simple cyst, and having a cyst does not affect the risk of having cancer. In 90% of cases, a new breast mass represents something other than cancer, often a simple cyst. At age 40 and under, 99% of the masses are not cancerous.|
Diagnostic of Cyst within
When a mass is detected on a breast , the doctor first analyzes the nature of this mass: cystic (liquid) or tumoral (solid). It is important to observe the evolution of the mass : does it increase in volume before the period? Does it disappear from one cycle to another? Neither palpation nor mammography can tell if it is a cyst. An ultrasound can detect a cyst but the best way is to insert a thin needle into the mass. This procedure can often be done in the doctor’s office. If fluid can be aspirated, is not bloody and the mass disappears completely, it is a simple cyst. The aspirated liquid does not need to be analyzed. If the breast examis normal 4-6 weeks later, no further examination will be necessary. The advantage of this method is that it is also curative (see section Medical Treatments).
If the liquid contains blood, if the mass does not disappear completely with the aspiration of the liquid or if there is recurrence, a sample will be analyzed in laboratory and it is necessary to carry out other specific tests (mammography, radiography breast, ultrasound, biopsy) to check whether the mass is cancerous or not.
When to consult?
Although 90% of breast masses are benign, it is important to consult a physician for any mass or change detected during breast self- examinations . Check out quickly if a mass:
- is new, unusual, or enlarged;
- is not connected to the menstrual cycle or does not disappear in the next cycle;
- is hard, firm or strong;
- has an irregular outline
- seems firmly attached to the inside of the chest;
- is associated with dimples or folds of the skin near the nipple;
- is accompanied by red and irritated skin.
Symptoms of the cyst within
- A firm mass in the breast, which grows and becomes sensitive just before the menses. We often find 1 or more masses in the 2 breasts;
- The mass is rather smooth and firm with a well-defined outline ;
- Sometimes a pain in the breast;
- The cyst can leave and reappear from one menstrual cycle to another or change volume.
Breast cyst – People at risk
- Women approaching menopause ( perimenopause );
- Women who have never had children
- Women who have an irregular menstrual cycle.
Prevention of the cyst in the breast
|How to prevent?|
|There is currently no way to prevent breast cysts.|
Cyst Breast – Medical Treatments
The cysts , especially the smaller ones, often resolve spontaneously. When there is no risk of breast cancer, no medical treatment is usually recommended.
Whether for a diagnosis or a treatment , the doctor can completely aspirate the liquid contained in the cyst with a fine needle. This is a simple operation that only takes a few seconds and causes pain comparable to a blood test. A control examination is then required 4 to 6 weeks after the operation to ensure that the mass does not reappear. Generally, the pain, if present, disappears with the aspiration of the liquid it contains.
If the fluid contains blood , if it is difficult to aspirate or if a solid mass is still present after the operation, a cyst biopsy, a mammogram, an X-ray or an ultrasound of the breast may be necessary to ensure the absence of cancer.
If necessary, taking an analgesic (acetaminophen or nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin) can help relieve mastalgia (breast pain). Cysts are only one of the causes of mastalgia. Breast pain is one of the symptoms of premenstrual syndrome , you can consult the sheet.
A few words on the fibrocystic changes of the breast. It is an extremely common condition that occurs in more than half of all women, most of them between 30 and 50 years old. In this case, there will often be pain that will vary in intensity during the menstrual cycle. The breasts can also be swollen, and there can sometimes be a discharge of the mammal. One can get relief with a well-fitting bra, gentle massage, an anti-inflammatory cream like topical diclofenac (Voltaren Emulgel). A diet rich in soy (isoflavones) can help. Vitamin E is of uncertain efficacy and evening primrose oil is ineffective. Coffee does not seem harmful. Medical treatments with danazol or tamoxifen can be considered in really rebellious cases.