Cyst in the chest

definition

A cyst is a fluid-filled cavity in the glandular tissue of the breast. The cavity is surrounded by a capsule that encloses thick or thin fluid secretion. Cysts can occur singly or in clusters and settle in the tissue. In general, a breast cyst is usually a benign change. For example, they can occur in the context of mastopathy, a benign change in the glandular tissue.

causes

The Glandular tissue the chest is divided into many lobulesthat are separated from each other by the surrounding jacket fabric. The pull through the individual lobes fine execution corridors of the glands and finally end in the Main milk courses the chest. By Deposits or the lumen of the ducts can be too narrow Obstructed drainage and deposits accumulate. This can also cause a cyst to form. There is also one inflammation form, which leads to the Encapsulate secretions in a cavity.

Most cysts occur, however during menopause on. This therefore more often affects women between the ages of 45 and 55 years. Often times the women develop one Changes in the mammary gland tissuewhat as Mastopathy referred to as. Mastopathy involves various changes in breast tissue. It comes to one significant increase in the connective tissue of the breast. As Fibrosis designated neoplasms can also lead to a Induration of the chest to lead. In addition to complaints like Swelling and Hypersensitivity cysts are also common on the breasts.

The cysts can be in different sizes occur and are therefore sometimes felt as knots. This disease is often triggered by the hormonal changesthat a woman goes through during menopause. Furthermore, cysts can also exist from birth. They are then called solitary cysts designated.

Cysts by pill

Through the Taking the pill the body is additionally using Hormones supplied, resulting in changes. With the monthly hormone fluctuations Therefore, cysts can also develop during the cycle. They can occur depending on the cycle. This means they possibly enlarged during the pill break and become smaller again when you take the pill. However, it can also happen that the Cysts are common, if the Pill taken regularly. These cysts can sometimes be discovered by the patient themselves or are an incidental finding during the gynecological check-up. The Taking the pill but also the Prevent cysts from forming. Here, too, there is a connection with hormone production.

Symptoms

Most cause cysts usually no complaints. Many women do not realize they have a cyst in their chest. Hence it is often a coincidenceif it is discovered during the gynecological examination. Bigger ones and also bulging with liquid On the other hand, cysts can be seen more easily. Sometimes they are from the patient felt it myself or from a certain size it can also become a visible swelling come. One breast may also be larger than the other when compared side by side.

Cystic cysts vary in size and can therefore remain recognized or undetected. As with other menstrual complaints, the cyst in the breast can cause discomfort depending on the cycle status. These include mild to moderate pain or one Breast hypersensitivity against touch, wearing bras and bumps. In some cases, cysts can be too Secretion deposits out of the nipple. The one that occurs again and again Discharge of secretions can therefore also be an indication of a breast cyst.

diagnosis

The Diagnosing a cyst in the chest takes place by means of various Investigation methods. Many women Keys regularly theirs Breasts off yourselfas there is a Precautionary measure is to identify changes early on. But feeling a breast cyst is not easy, because a cyst can often only be felt from a size of one centimeter. In addition, the glandular tissue itself can be palpated and mistaken for a cyst. At a gynecological examination the doctor also feels both breasts of the woman. Because of his experience and training, he can also feel smaller cysts better.

However, cysts do best in the end Ultrasound image recognized. There you can also access your Size determined become. Furthermore there is the ultrasound examination Information about the liquid content and the Wall thickness of the capsule. In some cases, the contents of the cyst make it difficult to differentiate clearly between a benign cyst and a malignant nodule. At a Malignant tumor suspected should therefore use a Tissue sample be taken, which subsequently examined histologically becomes.

If the suspicion persists, further investigation methods can be used to differentiate. So by means of a MammographyAn accurate picture of the breast can be obtained using X-rays. In these pictures you can see commercial changes very clearly and can directly see the Determine location and size. The tests that are done depend on whether the doctor cannot clearly determine whether the cyst is harmless.

therapy

Whether a cyst in the breast needs treatment is decided on the one hand by the attending physician and on the other hand by the doctor Treatment dependent from complaints, of the size and the personal opinion Of the patients. Most cysts are harmless cysts. Many of these occur in connection with hormonal fluctuations and therefore often resolve on their own. A preventive measure can prevent the formation of cysts Taking the birth control pill be. In some cases it is then prescribed by a doctor outside of the contraceptive effect.

With symptoms like Pain or swelling, the cyst may reduced in size by a puncture become. This measure is particularly useful if a cyst has existed for a long time and does not regress spontaneously. At the same time, the patient can also express the wish that the Cyst removed becomes. Although cysts are usually benign, one is tissue changeswhich are of concern to many women and therefore want the cyst to be removed. Last but not least, persists common cysts also the risk that at some point too malignant changes occur can, especially in women who family background are.

Puncture

At a Puncture A fluid-filled cyst in the breast is first carried out Anesthesia. In most cases, the affected breast only locally anesthetized. The doctor then punctures the cyst with a fine needle and aspirates the liquid into a syringe. This is what happens Puncturing the cyst under sonographic control. This will make the Swelling relieves and the Cyst smaller. The doctor fills the empty cyst with air using a syringe. In most cases this causes one Adhesion of the cyst wallwhich creates a kind Scar forms. This cyst can then no longer refill with fluid. So it arises no relapse.

A puncture is often followed by a histological examination of the cyst contents for abnormal cells. If abnormal or even abnormal cells are found, the doctor often decides that the Remaining wall of the cyst also removed should be. This is usually done by one minor surgery. This significantly minimizes the risk of a new cyst forming at this point or even a malignant one.

Risks

Cysts occupy a certain space in the mammary gland tissue and push it to the side. Through this constant pressure on the tissue, it can also recede somewhat. The glandular tissue no longer grows as well and eventually the This makes the breast appear smaller. This is one of the reasons why larger cysts should be relieved, among others. There is also one with cysts low residual riskthat the cells further differentiate into other cell types. So from the Wall of the cyst papillomas arise. Papillomas are generally also benign growths, but these cells can also be 10-15% of patients degenerate. A little less often it can also happen that malignant tumors, the carcinomas, develop from the cyst wall.

Please also read our page Recognize breast cancer.

Remove

Removing a cyst from your breast can be done by a Puncture or one surgical intervention respectively. A cyst becomes especially then by means of an operation removed when the Suspicion is that a possible degeneration could be present. In some examination images, it is sometimes not possible to clearly identify whether the tumor is benign or malignant. Even with women with a familiar one Mastopathy or known cases of breast cancer in the family, the patient is advised Remove cysts. The diagnosis can then be confirmed by taking a histological sample.

The patient receives one for an operation short general anesthesia. Depending on the location of the cyst, access to the cyst can be through a Cut below the chest in the chest fold or on the outer edge near the armpit. The doctor finally dissects the cyst freely and then removes it along with the capsule. Care is taken to ensure that the cyst does not tear or the capsule is damaged. This is especially important when there is suspicion of malignancy. At Injury to the cyst wall can then Degenerate cells are carried over to healthy tissue what growing a tumor could mean. The cyst then becomes detailed examination and confirmation of the diagnosis ins laboratory cleverly.