BREAST CYSTS

Breast cysts are benign breast formations. About one third of women aged 30 and 50 years are affected, with a higher incidence around 40 year old.
It is easy to detect in experienced hands on palpation: They present themselves as grapes or small soft balls, generally with smooth margins and well-defined. They are almost always benign and developed in glandular acini and ducts, probably due to obstruction of the same, due to epithelial growth (groups of cells) that covers them. Hormonal factors and abnormalities in tissue growth are contributing causes of their formation . Although the nature of the cyst is usually benign, you should talk to your doctor change the size of cysts already identified above, or of new nodules arose after the menstrual period.

The cysts are small breast pockets or fluid-filled cavities that can generally be formed before menopause. They have well-defined edges to the touch and are in most cases benign, but should be checked periodically always referring to a mammalogy. They may have different sizes and, when they are excessive volume, with chips (small offshoots) all’interno, clearly visible by ultrasound is good to explore the possibility of considering its content, by a levy (agocentesi) under ultrasound guidance.
The origin of breast cysts is not fully defined but it is known the stimulating action of estrogen. The cysts are formed in correspondence with the small tubules (ducts) carrying the milk produced by the mammary glands. The breast is formed by a glandular component (lobules and ducts) and support fabric made from fibrous connective tissue and adipose tissue. Cysts may be formed by abnormalities in the growth of mammary glandular component and the fibrous tissue that surrounds them, that blocking the terminal portion of the ducts cause its expansion to form cysts.

The breast cysts usually cause no symptoms. The painful event is when the cysts grow in volume, sometimes even in a short time, becoming more evident upon palpation, sometimes up to 5-6 cm or more. If the cyst wall is very tense, and especially in the cysts of small size, palpation allows us to appreciate the small nodulini, similar to small grapes, of increased consistency.
How do PREVENTION of breast cysts?
There is no preventive measure. In the case of pain or discomfort it might be useful to the use of bras capable of ensuring a suitable breast support, alleviating their symptoms. painkillers, such as acetaminophen ( Tachipirina ) or drugs antiinflammatory They may be prescribed to relieve pain or reduce the hassle.

Diagnosis
The first examination useful to determine the presence of cysts is palpation. Even the woman can learn to appreciate the touch with self-examination and check it every month .
The ultrasound allows to evaluate the nature of the nodule and the presence of liquid, thus excluding the presence of solids or septa tokens, difficult thing to do with mammography but could highlight the neighboring calcifications. In the case of complex cysts, with articulated formations or thickened walls, the risk of malignancy increases and is recommended to perform additional more invasive investigations:
Agoaspirato agocentesi or cysts that allow you to take cells present in the liquid in order to examine the nature. The agocentesi also allows, at the same time, to empty the most voluminous cysts, tense and painful. The aspirated liquid can be evaluated by mammalogy and when it appears transparent, yellow or greenish is not necessary to keep cytological investigation. The serum of blood or solid impurities must , instead, be subjected to cytological examination to detect any abnormal cells.

THERAPY
Breast cysts are generally benign and usually you do not need no treatment, either pharmacological or surgical. Possible treatments are necessary when the cysts take a volume as to cause a painful or unpleasant pressure on the breast tissue or that hide other formations that can determine health risks. In these cases with signs of inflammation (inflammation) They can also be treated by taking anti-inflammatory and even may require antibiotic therapy. Surgical removal of cysts is rarely necessary. When it proceeded earlier intake of complex cysts, with negative cytology for tumor, you should run a seriato ultrasound monitoring in time every six months.