Breast nodule – fibroadenomas – fibrocystic breasts
Breast nodules represent a common cause of patient anxiety and concern. Although they are benign in the vast majority of cases, in certain circumstances it is necessary to perform a histological study to determine its nature.
What can be the causes of the breast nodule?
Breast cysts: they are lesions with fluid content, mobile, well delimited and usually present between the ages of 35 and 50. They often suffer size changes in relation to the menstrual cycle. At the examination, they appear as hard or elastic nodules, and sometimes painful. The diagnosis of its liquid content is made through a breast ultrasound. Normally, they do not usually require treatment, but if they produce pain, an aspiration can be performed guided by ultrasound. In rare cases, its ultrasonographic appearance can be suspicious of malignancy, so an aspiration is performed to establish a definitive pathology diagnosis.
Fibrocystic changes: affect almost 60-70% of women. To date, it is known that they are due to an exaggerated response to hormones. From the clinical point of view, they can range from asymptomatic to cyclic, diffuse and bilateral pain, or cysts or diffuse nodules usually in the upper-outer part of the breasts. They do not need concrete treatment, simply analgesics and information aimed to reassure the patient they are not malignant.
Fibroadenoma: these are hard, mobile lesions with a smooth surface and a very variable size (usually between 2 and 4 cm) that occur in young women under 40 years of age. The diagnosis is made by physical examination and with a breast ultrasound. They are only removed surgically when they cause pain in the patient or deformity in the mammary gland.