Cysts and Tumors in the Breast: What You Need to Know

There are cysts and sarcomas in the chest?

Dr.
Wu: Hello! I had an ultrasound scan and found a cyst approximately 1.2 cm in the left breast at the one o'clock position, and a mass about 1.2 cm in the right breast at the one o'clock position as well.
I would like to ask: (1) Are these masses benign or malignant? If they are benign, is there a possibility of them becoming malignant? (2) Do they require surgical treatment? If surgery is necessary, what are the associated risks? Thank you for taking the time to respond! THANKS!!

vicky, 20~29 year old female. Ask Date: 2003/04/07

Dr. Wu Zongcheng reply Obstetrics and Gynecology

Director Wu Zongcheng of the Department of Obstetrics and Gynecology at Tainan Hospital, Department of Health, responded: The breast is composed of glandular and fatty tissues.
The glandular tissue can accumulate fluids such as milk, which is commonly referred to as a cyst; what you mentioned as a seroma may fall into this category (the formal medical term is fibrocyst).
As for sarcomas, I am not sure; you may want to consult the physician who examined you.
Generally, hard tumors in the breast can be fibromas or lipomas.
1.
A seroma refers to a benign tumor.
2.
Surgery is not currently necessary, but regular follow-up examinations (once a year) are required.

Reply Date: 2003/04/07

More Info

When it comes to breast health, understanding the nature of cysts and tumors is crucial for both diagnosis and treatment. Based on your ultrasound findings, you have a cyst (water-filled sac) on the left breast and a solid mass (which you referred to as a "meat tumor") on the right breast, both measuring approximately 1.2 cm. Let's address your concerns systematically.

1. Nature of the Tumors: Benign vs. Malignant
The first question you have is whether these lesions are benign or malignant. Cysts are typically benign, especially if they are simple cysts, which are fluid-filled sacs that do not have solid components. They usually do not pose a risk of cancer. On the other hand, solid masses can vary in nature. Some solid tumors, such as fibroadenomas, are benign and do not require treatment unless they cause discomfort or grow significantly. However, other solid tumors may require further evaluation to rule out malignancy.

To determine the nature of the solid mass, a biopsy may be necessary. This procedure involves taking a small sample of tissue from the tumor to be examined under a microscope. If the biopsy shows atypical cells or malignancy, further treatment will be required. If the mass is benign, it is less likely to become cancerous, but regular monitoring is essential.

2. Treatment Options: Surgical vs. Non-Surgical
Regarding whether surgical intervention is necessary, it largely depends on the characteristics of the tumors. If the cyst is simple and asymptomatic, it may not require any treatment. However, if it is complex or causing pain, aspiration (draining the fluid) may be considered.
For the solid mass, if it is determined to be benign but is causing discomfort or is growing, surgical removal may be recommended. The risks associated with surgery include infection, scarring, and changes in breast appearance. However, these risks are generally low, and the benefits of removing a potentially problematic mass often outweigh the risks.

3. Monitoring and Follow-Up
Regardless of whether the lesions are benign or malignant, regular follow-up is crucial. For benign cysts, self-examination and periodic ultrasound can help monitor any changes. If a solid mass is benign, it may still require regular imaging to ensure it does not change in size or characteristics.

In summary, while cysts are typically benign and less concerning, solid masses require careful evaluation. A biopsy may be necessary to determine the nature of the solid mass, and treatment options will depend on the results. Regular monitoring and follow-up with your healthcare provider are essential to ensure any changes are promptly addressed. If you have further questions or concerns, do not hesitate to reach out to your healthcare team for personalized advice and support.

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