Breast Cysts - Types & Treatment скачать в хорошем качестве

Breast Cysts - Types & Treatment

Breast cysts are common in the women between 35 to 55 years and usually present as a painless lump. Several causative factors contribute include lobular involution, increased secretion, ductile obstruction, hyperoestrogenaemia and hormone replacement therapy. Cysts are often multiple, may be bilateral and can mimic malignancy. They typically present suddenly and cause great alarm. Prompt diagnosis by ultrasonography and aspiration under ultrasound guidance provides immediate relief. A smooth-walled cyst without any solid component in its wall is classified as BI-RADS 2 and requires only observation without biopsy. The presence of a solid component in the cyst wall is classified as a complex cyst and necessitates a core biopsy to rule out cystadenocarcinoma. This should be distinguished from a complicated cyst, which is defined as a cyst containing intra cystic floating debris that moves within the cyst with change of posture. A solitary cyst or small collection of cysts may be aspirated if associated with pain or inflammation. If the cyst resolves completely, and if the fluid is not bloodstained, no further treatment is required. Cytological examination of cyst fluid is not useful. If there is a residual lump or if the aspirate is blood stained, a core biopsy or excision for histological diagnosis is advisable. A complicated cyst with associated infection may be treated with a short course of antibiotics.