Dr. Ertan Beyatlı

There is a mass in the breast Alas !!!

(Update: ) - Skin and soft tissue diseases

Do not be immediately upset and afraid that there is a mass in the breast. Sometimes your sadness can be more harmful than the mass. Calm down a little ..

Mass in the breast often depends on benign (non-cancerous) formations. The most common is cyst and fibroadenoma. Details do not rush into this article.

Patients go to many doctors like honey bees and get different opinions. And I will find them in front of me, out of curiosity, wondering what this doctor will say. He's anxious, anxious, and confused.

Every lady may encounter this situation in or around herself in some part of her life. Phrases like these are common: “there is a cyst in the breast”Or“there is a mass in the breast" or "my breast is broken".

Here are the most common and benign breast lumps:

  1. Breast Abscess
  2. Breast Cyst
  3. Fibroadenoma
  4. Fat Necrosis
  5. Galactocele
  6. Hematoma
  7. Sclerosing adenosis

What is a breast abscess?

Inflammation and pus in the breast. It can cause pain, stiffness, fever and fatigue in the breast.

What is a breast cyst?

It means benign fluid-filled sac in the breast. It is common between the ages of 35-50. It is known as Fibrocystic Breast Diseases (FMH). Latin "Breast cyst”Is. It can be as small as a grape and as large as a water-filled bubble. Breast cysts can be found in one or both breasts. Symptoms: smooth, mobile swelling, clear yellow discharge from the nipple and breast pain. Before menstrual periods, complaints increase and then decrease. Having breast cysts breast cancer does not increase the risk.

The cause of breast cysts is not yet known. The hormone level during your period can play a role. On each of your breasts, like daisy petals arranged, glandular tissue lobes. Breast cysts develop as a result of fluid accumulation in the glands in the breasts. Cysts are called myco and macro cysts according to their size.

There is a mass in the breast

Microcysts are very small and not palpable. It can be seen during imaging tests such as mammography or ultrasound. Macrocysts can be palpated (see Fig. Breast Self Exam).

As long as he does not complain, no treatment is required. In the treatment, the cyst fluid is drained (cyst puncture, aspiration). Cysts that are large in size (> 2.5cm) or causing complaints can be removed with minor surgical intervention. Local anesthesia the name of the action to be performed under Breast Biopsyis. This procedure is a simple, short (10-20 minutes) and very low-risk outpatient surgery. Cysts removed during the procedure are sent for histopathological examination. Results are usually visible in 3-10 days.

What is a fibroadenoma?

Fibroadenoma is like a pea

Fibroadenomas are the most common benign tumors of the breast. It consists of the words fibroma and adenoma. Both are benign and clean formations.

Does fibroadenoma cause pain?

No, it usually does not cause pain and it can be handled by chance. When it reaches very large sizes, it may cause pain due to the pressure it exerts on the surrounding tissues.

Fibroadenoma is generally round, like chickpea or pea, if touched by hand, its borders and outer wall are smooth, mobile breast mass.

Mass fibroma in the breast
fibroma
Mass adenoma in the breast
adenoma

It is seen between the ages of 18-42. It occurs in 10 out of every 7 women. Sometimes they are noticeable and sometimes they are not noticed when they are very small and asymptomatic and are found by chance during the control. For the masses detected in the examination, first ultrasound and then biopsy are required. You ask why? Because fibroadenoma disease is a pathological term. Diagnosis cannot be made by examination and ultrasound. Biopsy and pathology are essential for definitive diagnosis. If the diameter is over 20mm (ie 2cm), a biopsy should be taken. Breast mass under 20mm is monitored every 3 months. If significant growth (> 3mm) is detected, a biopsy is taken. If there is no growth in the first 3 months, it is checked again every 6 months. Again, if no significant growth is seen, it will be sufficient to check it once a year.

Fine needle aspiration biopsy in women under the age of 40 (FNAB) or a biopsy with a tru-cut gun. Open biopsy is preferred for women over the age of 40. My preference is always for open biopsy because biopsies taken with needle or tru-cut have a high margin of error.

When you dip the injector into an apple and remove it, the remnants of the apple remain in the injector. Here, in needle biopsy, pathology examines the biopsy based on these remains and gives information about the apple. But this information consists only of the parts where the needle passes.

Needle biopsy for breast mass FNAB Trucut

I'm in favor of removing the whole apple (ie the whole fibroadenoma) and sending it to the pathologist. In this case, the pathologist can give detailed and precise information about the apple's skin, core, stem, stem, shape, diameter and every feature you can think of.

What is the significance of fibroadenomas?

There is no direct link between fibroadenoma and breast cancer. In fact, the diagnosis of fibroadenomas is more important than the treatment and should be established definitively. Because it is very likely to be confused with breast cancer before a definitive diagnosis is made. Biopsy and pathology are essential for definitive diagnosis.

What is fat necrosis?

It is a painless and round stiffness in the breast as a result of trauma. It is more common in women with very large breasts. If he does not complain, he can be followed up. Complaints are taken by biopsy.

What is a galactocele?

It is the accumulation of milk due to clogging of the milk ducts.

What is a hematoma?

It is a blood clot in the breast. It can be seen after trauma or surgery.

What is sclerosing adenosis?

Sclerosing adenosis is excessive tissue growth in the lobules of the breast. It causes breast pain and stiffness. It may appear as calcification on mammography and make lumps. Usually a biopsy is required to rule out cancer. Biopsy may be required.

FAQ - Frequently Asked Questions

Is every breast lump cancer?

No, the breast mass is benign, that is, it is not cancer. Biopsy and histopathological examination are essential for definitive diagnosis.

Does breast mass grow?

Some benign breast masses may grow over time. Some lumps may grow larger than breast size over time, for example Cystosarcoma phyllodes tumor.

Is biopsy necessary for breast mass?

Biopsy is essential to distinguish between benign and malignant masses. There are some criteria described above for breast biopsy.

How long does a breast biopsy take?

Breast biopsy usually local anesthesia done under. Sedation in some large masses or general anesthesia may be required. The average duration of the procedure is 20-45 minutes.

How much does a breast biopsy cost?

This situation can be very different depending on the size of the audience and the center. The average cost for the year 2020 is 250-2000 TL.

Which part looks at the mass in the breast?

He looks at the General Surgery department. Related article: Which diseases does General Surgery look at?

What is the difference between a cyst and a mass in the breast?

Cyst is a hollow or fluid-filled formation. Mass is a formation filled with tissue.

Does a mass in the breast cause pain?

Yes, some masses can be painful. There may be pain in the breast as a result of rapid growth of the mass, infection, bleeding or necrosis in the mass, and obstruction of the milk ducts due to pressure.

How is it understood that a mass in the breast is cancer?

You can find my article on breast cancer symptoms here: Breast Cancer - Symptoms & Causes

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