Fibroadenomas and Papillomas: Impacts on Breast Health and Pregnancy

The impact of sebaceous cysts and papillomas?

Hello doctor, I have a 1.6 cm sebaceous cyst and a 0.8 cm papilloma in my right breast, along with a 0.4 cm tumor that has not yet been biopsied.
I would like to know what causes sebaceous cysts and papillomas.
Additionally, I sometimes experience brown discharge when I squeeze my nipple, and occasionally (though rarely) it flows out on its own.
If I plan to get pregnant, will these tumors affect my pregnancy in any way? Will there be any impact during breastfeeding? After the removal of these tumors, is there a high chance of recurrence? Thank you for your response.

Liu Xiaojie, 30~39 year old female. Ask Date: 2012/04/27

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Ms.
Liu,
Hello, a sebaceous cyst is caused by the obstruction of skin glands, while a papilloma is due to the proliferation of the milk ducts.
Neither condition will affect pregnancy, nor will they impact breastfeeding.
Wishing you health and safety.
Sincerely,
Dr.
Chou Chia-Cheng
Director of Surgery, Taoyuan General Hospital, Department of Health

Reply Date: 2012/04/27

More Info

Fibroadenomas and papillomas are two types of benign breast tumors that can raise concerns for women, especially those considering pregnancy. Understanding their nature, potential impacts on breast health, and implications for pregnancy and breastfeeding is crucial.

Fibroadenomas are solid, non-cancerous tumors composed of glandular and connective tissue. They are most commonly found in young women and can vary in size. The exact cause of fibroadenomas is not well understood, but they are thought to be influenced by hormonal changes, particularly estrogen. These tumors are generally painless and may feel like a marble in the breast.
Papillomas, on the other hand, are small, wart-like growths that develop in the ducts of the breast. They can sometimes cause discharge from the nipple, which may be clear or brownish, as you have described. Papillomas can be solitary or multiple and may require monitoring or removal, especially if they are associated with abnormal discharge or changes in the breast tissue.

Regarding your specific concerns about pregnancy and breastfeeding:
1. Impact on Pregnancy: Generally, fibroadenomas and papillomas do not pose significant risks during pregnancy. They are benign and typically do not change in size or behavior due to pregnancy hormones. However, it is essential to have regular check-ups with your healthcare provider to monitor these conditions. If you plan to become pregnant, it is advisable to discuss your breast health with your obstetrician or a breast specialist. They can provide personalized advice based on your medical history and the characteristics of your tumors.

2. Breastfeeding Considerations: Both fibroadenomas and papillomas should not interfere with your ability to breastfeed. The presence of these tumors does not affect milk production or the quality of breast milk. If you undergo surgery to remove these tumors, it is crucial to discuss with your surgeon how the procedure might affect breastfeeding. In most cases, if the surgery is performed correctly, it should not impact your ability to nurse.

3. Surgical Removal and Recurrence: If you are considering surgery to remove these tumors, it is essential to understand the potential for recurrence. Fibroadenomas can recur after removal, but the likelihood varies based on individual factors and the type of surgery performed. Papillomas may also recur, particularly if they are not completely excised. Regular follow-up with imaging studies, such as ultrasound or mammography, is recommended to monitor for any changes in the breast tissue.

4. Discharge from the Nipple: The brownish discharge you mentioned can be associated with papillomas or other benign conditions. However, any unusual discharge should be evaluated by a healthcare professional to rule out any underlying issues. If the discharge is persistent or accompanied by other symptoms, further investigation may be warranted.

In summary, while fibroadenomas and papillomas are benign conditions that generally do not pose significant risks during pregnancy or breastfeeding, it is essential to maintain regular check-ups and communicate openly with your healthcare providers. They can help ensure that you have a healthy pregnancy and breastfeeding experience while managing your breast health effectively. Always prioritize your health and well-being by seeking professional medical advice tailored to your specific situation.

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