Fibrocystic Breast Surgery: What You Need to Know

Breast Fibrocystic Cyst Excision Surgery

Doctor: Hello, I would like to ask a question.
Six years ago, I discovered a fibrocystic lesion beneath my right nipple.
Due to its larger size and irregular shape, although it has been confirmed as benign, I have been monitored annually.
However, I was unable to follow up for two years while abroad.
Two years ago, my doctor suddenly mentioned that there had been changes and that I would need to be re-evaluated in six months, which made me quite anxious.
Currently, I am living abroad and will be here for at least four more years.
Can I opt for surgical removal to prevent any future issues? Would it be better to remove it before it potentially becomes malignant? If surgery is an option, I would like to know how long the recovery period would be.
Is it a major surgery or minimally invasive? Would it be possible for me to travel two days post-surgery? I only have a week off, and I apologize for my lack of understanding of the process.

Lüyouzhe, 30~39 year old female. Ask Date: 2017/04/05

Dr. Li Zhonghuai reply Surgery

Hello! Since you haven't had a follow-up in two years, the doctor recommends changing it to every six months.
Generally, fibrocystic changes do not undergo malignant transformation unless they continue to enlarge or if ultrasound or mammography raises concerns about malignancy.
If there is suspicion, a core needle biopsy will be performed first.
Whether to proceed with excision or more extensive surgery will also depend on the results of the core needle biopsy.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2017/04/05

More Info

Understanding fibrocystic breast conditions and the associated surgical options can be quite daunting, especially when you have a history of fibrocystic changes like cysts or lumps in your breast. Fibrocystic breast changes are common and often benign, but they can cause anxiety, particularly when there are irregularities in size or shape.
In your case, you mentioned that you have a fibrocystic cyst located beneath the right nipple, which has been monitored for six years. The fact that it has been classified as benign is reassuring, but the irregular shape and size can understandably raise concerns. It’s important to remember that while fibrocystic changes are typically not associated with an increased risk of breast cancer, any changes in the characteristics of a lump should be evaluated thoroughly.

Given that you have not been able to follow up for two years, it is wise to consider surgical options, especially if the cyst has changed or grown. Surgical removal of a cyst can provide peace of mind and eliminate the need for continuous monitoring. If the cyst is causing discomfort or anxiety, excision may be a reasonable choice.
When considering surgery, it’s essential to discuss the type of procedure with your healthcare provider. Most cyst removals can be performed as outpatient procedures, often using minimally invasive techniques. This means that recovery times can be relatively short, typically ranging from a few days to a week, depending on the extent of the surgery and your overall health.
Regarding your concern about traveling shortly after surgery, it is generally advisable to avoid flying for at least a few days post-operation. This is to minimize the risk of complications such as swelling or infection. However, if your surgery is minor and you feel well, your doctor may give you the green light to travel after two days. It’s crucial to follow your surgeon’s advice regarding post-operative care and travel.

In terms of the potential for malignancy, while the risk is low for benign cysts, any significant changes in size or shape should prompt further evaluation. If your healthcare provider recommends surgery, it is likely because they want to ensure that there are no underlying issues that could pose a risk.

Lastly, if you are considering surgery, it’s important to have a thorough discussion with your surgeon about the procedure, recovery time, and any potential risks involved. They can provide you with a clearer picture of what to expect and help you make an informed decision based on your specific circumstances.

In summary, while fibrocystic changes are common and often benign, your situation warrants careful consideration. Surgical removal can provide peace of mind and eliminate the need for ongoing monitoring, especially if there have been changes in the cyst. Always consult with your healthcare provider to discuss the best course of action tailored to your health needs and lifestyle.

Similar Q&A

Understanding Fibrocystic Breast Changes: What You Need to Know

A friend of mine discovered a hard lump during a breast examination at a health clinic, which was identified as a fibrocystic breast condition.

Dr. Shang Dongfu reply Surgery
Hello: Fibrocystic breast changes are common breast lumps in women. Generally, they do not require surgical treatment and can be monitored with annual follow-ups at a breast specialist's clinic.

Understanding Fibrocystic Breast Changes: Surgery and Aesthetic Concerns

Recently, a fibrocystic mass measuring 2.5 centimeters was found in my breast. Will surgery affect the appearance? If surgery is required, will I need to be hospitalized? Thank you.

Dr. Wang Zhitang reply Surgery
A 2.5 cm benign breast mass excision generally does not affect the appearance of the breast (aside from scarring). Most of these breast biopsy surgeries are performed under local anesthesia, allowing the patient to go home immediately after the procedure without the need for hosp...

Understanding Fibrocystic Breast Changes: What You Need to Know

Dear Doctor, during a recent health check-up at my company, I discovered that I have a fibrocystic mass in my right breast. I'm unsure about what to do next. Is it serious? Do I need to have it surgically removed? If it is benign, will it be okay to leave it untreated?

Dr. Wei Fumao reply Obstetrics and Gynecology
Please consult a breast specialist or surgeon to determine whether excision is necessary based on the size. If excision is not performed, then observation will be required.

Understanding Fibrocystic Breast Changes: To Remove or Not?

Hello Dr. Lin: I previously consulted you about my condition, and I have since undergone examinations at the hospital. The doctor diagnosed it as a fibrocystic breast condition. However, I am unsure whether I need to have it surgically removed. If I do have it removed, will it gr...

Dr. Lin Kecheng reply Surgery
Fibrocystic changes are benign tumors of the breast. If a cyst measures 0.9 centimeters, it is recommended to perform a breast aspiration for cytological examination to confirm the diagnosis as a fibrocyst or something else. Generally speaking, if surgically removed, it is unlike...