Lump in the breast
Lump in the breast is a term, behind which are hiding different disease pictures in mamma. Nodular seals can be single, multiple, solid or cystic formations. Most of the breast lumps are benign processes, but some of them may also be cancerous. Important for treatment are accurate clarification on time and histological verification of any breast lump.
Lipogranulomas – these compact nodular formations occur in roughly kneading of the breast during “foreplay”. Destruction (necrosis) of subcutaneous adipose tissue leads to accumulation of inflammatory cells, development of the so called granulomas a “foreign body” and expansion of connective tissue, which strongly compacts this area. Lipogranulomas mimic breast cancer, but their exact diagnosis is only possible when performing a biopsy, which is after their surgical removal.
Fibrous cystic mastopathy – fibrous cystic mastopathy (mastopathia fibrosa cystica) is compensatory –adjusted precancerous process, that is characterized by the formation of seals (lumbs with varying sizes) and cysts in the breast. Such lumps in the breast develop in women in middle age and can engage one or both mammary glands. These changes are usually accompanied by mild pain in the breast – both spontaneous and by touching, increasing before and during menstrual cycle. Chronic cystic mastopathy in the early stages without suspection of cancerous degeneration, may be administered hormone therapy or waiting behavior, with ultrasound control of the mammary glands for several months. Larger nodes and cystic formations need operative removal and histological examination of the operative material. If there is evidence from biopsy examination for malignant degeneration of the formation, a radical amputation of the breast must be performed.
Fibroadenoma – fibroadenoma is one of the most common benign tumors of the breast. Usually occurs as a single nodule, located in the upper outer quadrant of the gland. The tumor has a solid consistency, correct boundaries, smooth surface and is sharply demarcated from the surrounding tissue. Fibroadenoma is painless, uninosculated skin and rolling to the surrounding tissue, unlike breast cancer. Treatment of such lump in the breast consists of surgical removal of the formation.
Papillomas of the breast – papilamatous benign tumors may develop in the milk ducts. This condition is relatively rare and affects all ages. One of the main and characteristic symptoms of the disease is serous – bloody discharge from the nipple.
Breast cancer is the most common cause of death in women in age 40 – 50 years. With diagnosis on time and rapid surgical removal (before it has spread), the chance for full recovery is very real.
Risk factors for developing breast cancer are:
• Early menarhe (menarche) and late menopause.
• First pregnancy after age 30.
• Consumation of fat food.
• Women with overweight and high blood pressure.
• Women, who have children, but not nursing – women who for some reason were nursing only one breast cancer develops in the other breast
• Family history – if a close relative of a woman has breast cancer, the probability of disease increases over 50%
• Breast cancer is combined with cancer of uterine corpus and never with cervical cancer.
Suggestive of breast cancer symptoms
• Missing similarity of the nipple
• Contracted nipple
• Bleeding from breast
• Relocation of the skin, if the lump is pushed aside
• Unequal venous pattern
• Lack of pain
• Early pregnancy
• Continuous breast feeding
• Normalisation of weight
• Normalisation of blood pressure
All breast lumps are potentially dangerous, because behind them can hide breast cancer. Treatment on time almost guaranties complete cure of patients.This can be realized only in early detection of the seal and visitation without any delay of the relevant specialist – mammologist. In most cases the woman finds herself the formation, so very important is regular self-exploration of breast.
Self-exploration of breast
Performed after menstruation. Menopausal women should do every month on a particular day by themselves, eg. always on tenth. The study is done by sighting and touching.
Visual investigation – this happens in front of the largest mirror in the house in good light. First with drawn to the body hands, then with raised hands – front and side.
Investigation by touching- first with hands in upright position. Then the woman bent and with the fingers of both hands touches hanging down breasts. Finally, touching in lying position.It must be investigated and axillary fossa, because enlarged lymph nodes there may also be early signalising symptom.