Some women have no complaints, and the findings were discovered by chance when a sub-Chung. Another key in the individual nodes or the entire chest area changed complicated. Related most prominent chest pain before period. Before menopause, symptoms can be increased. Cysts can often be as firm-elastic knots of varying sizes, depending on the course of the cycle, the button. Rarely, it can lead to leakage of dull, but not bloody fluid from the nipple - usually on both sides - to come. Very rare chest showed signs of inflammation, ie, an area feels a bit hot, a little flushed, hardened complicated and painful.
Diagnosis
In fibrocystic changes palpable mass is often difficult to assess. Therefore, doctors in the disorder, such as a palpable lump in the breast or hardened areas, perform ultrasound (sonography). This is especially true for women under 30 years because they have dense breast tissue. In particular cyst ultrasound images optimally represented. A diagnostic mammogram is connected only when needed, in case of doubt, a biopsy, which is the elimination of a sample of tissue for histological examination.
Fibrocystic breast disease and the risk of breast cancer?
Simple fibrocystic changes do not increase the risk of breast cancer. This is in accordance with the "healthy breasts" women. If you find ductal cells with atypical hyperplasia (ADH, overlapping with grade III mastopathy), the risk of breast cancer increased statistically about four to five times in checked and in the other breast after ten years. This means that about 20 percent of people, or one in five women then can get breast cancer.
However, women are affected in the age group in which breast disease usually make demands, from the beginning are less likely to breast cancer, which puts this calculation (see below). In individual cases, the doctor will always consider all relevant risk factors in a woman before he can assess an individual's risk for breast cancer may be approximate.
For security reasons it is evidence linking slightly increased risk of breast cancer, on a regular basis. This applies insbeosndere when breast tissue in mammography proved to be relatively dense or extremely dense. It is considered as an independent risk factor for breast cancer. In combination with ADH will be higher, which may be indicative of anti-hormone treatment of prevention. It's best to consult with a certified breast centers in affected women.
Monday 2 March 2015
Sunday 1 March 2015
When a leaf node key
If a woman because of abnormalities in the breast of a female doctor who interviewed according to the knowledge of the patient, is more or less detail in the fashion described above. And: Is there already known breast findings? If the person concerned has had surgery on his chest? Does the patient have breast complaints (see above)? Then he checked palpation and thoroughly examine women. If only in the second half of the cycle, it may be advisable to check the chest in the first half of the new cycle following, shortly after the next menstruation. Because breast tissue changes depending on hormones and should be judged better with a touch in the first half of the cycle.
Sometimes, however, an accurate diagnosis suggested timely. This concerns in ultrasound (sonography, breast sonography) and X-ray (mammogram) of the breast. Women younger than 40 years, usually have very dense breast tissue. Hence, an ultrasound examination with them in the first place. This also applies during pregnancy and lactation. If necessary, the doctor did today, but even in this situation with mammography.
The range used for evaluation striking (touch) discovered X-ray examination of the breast is different from mammography screening women "healthy breast", referred to mammography as a diagnostic or curative.
Sometimes you can even complement breast magnetic resonance imaging (MRI) may be required. It is, however, subject to certain questions.
With special features, such as secretion (liquid) from breast milk ducts can be represented by a contrast agent is injected into the X-ray image. Galactography This is a variant of mammography. Viscous secretion or growth, of any type, can impede the flow of contrast media. In the X-ray of termination or filling defects dairy aisle can then be displayed.
Investigation uncomfortable to painful. Previously, the fluid itself is checked containing cells and bacteria. Allergy is a contrast agent because of contraindications (relative contraindications). Previously, patients can receive drugs largely suppress allergic reactions. The investigation is only possible if the milk ducts or the discharge current can squeeze. Only in this way can be seen where the tooth needs to be investigated. Before contrast mammography imaging normal progress should be present.
Most are benign fluid secretion. Even after a bloody discharge is not always put malignant change. Is this so, but can only be determined after a closer inspection.
! Important: Although no abnormal cells are found in the nipple discharge must be simultaneously present at the node or suspicious findings on chest X-ray or Ultrschallbildern tissue sample (biopsy, usually as Stanzbiospie) is removed and examined histologically.
Apart from a few exceptions, such as abnormal cysts in a knot so that the histological examination of tissue samples for diagnosis is often required. This means that even a "solid", made of solid, non-liquid content of existing stove, which is not palpable, but seen in diagnostic imaging, should be clarified as a rule in tissue samples.
The tissue sample is usually obtained in the outpatient palpable findings by minimally invasive needle biopsy. Minimally invasive means that only a very small incision is required. Rare made a clarification on a short surgical procedure than open biopsy (diagnostic excisional biopsy). This happens, for example, questioned whether the suspect imaging findings, previous core biopsy, however, no clear conclusions brought, or if a minimally invasive intervention for some reason is not possible.
A fine needle is used today in the diagnosis of breast cyst aspiration essentially only for or maybe for the examination of lymph nodes in the armpit.
More for the diagnosis including mammography screening breast cancer contributions, chapter "Early detection and diagnosis," and - thematic - in other chapters of this post.
Sometimes, however, an accurate diagnosis suggested timely. This concerns in ultrasound (sonography, breast sonography) and X-ray (mammogram) of the breast. Women younger than 40 years, usually have very dense breast tissue. Hence, an ultrasound examination with them in the first place. This also applies during pregnancy and lactation. If necessary, the doctor did today, but even in this situation with mammography.
The range used for evaluation striking (touch) discovered X-ray examination of the breast is different from mammography screening women "healthy breast", referred to mammography as a diagnostic or curative.
Sometimes you can even complement breast magnetic resonance imaging (MRI) may be required. It is, however, subject to certain questions.
With special features, such as secretion (liquid) from breast milk ducts can be represented by a contrast agent is injected into the X-ray image. Galactography This is a variant of mammography. Viscous secretion or growth, of any type, can impede the flow of contrast media. In the X-ray of termination or filling defects dairy aisle can then be displayed.
Investigation uncomfortable to painful. Previously, the fluid itself is checked containing cells and bacteria. Allergy is a contrast agent because of contraindications (relative contraindications). Previously, patients can receive drugs largely suppress allergic reactions. The investigation is only possible if the milk ducts or the discharge current can squeeze. Only in this way can be seen where the tooth needs to be investigated. Before contrast mammography imaging normal progress should be present.
Most are benign fluid secretion. Even after a bloody discharge is not always put malignant change. Is this so, but can only be determined after a closer inspection.
! Important: Although no abnormal cells are found in the nipple discharge must be simultaneously present at the node or suspicious findings on chest X-ray or Ultrschallbildern tissue sample (biopsy, usually as Stanzbiospie) is removed and examined histologically.
Apart from a few exceptions, such as abnormal cysts in a knot so that the histological examination of tissue samples for diagnosis is often required. This means that even a "solid", made of solid, non-liquid content of existing stove, which is not palpable, but seen in diagnostic imaging, should be clarified as a rule in tissue samples.
The tissue sample is usually obtained in the outpatient palpable findings by minimally invasive needle biopsy. Minimally invasive means that only a very small incision is required. Rare made a clarification on a short surgical procedure than open biopsy (diagnostic excisional biopsy). This happens, for example, questioned whether the suspect imaging findings, previous core biopsy, however, no clear conclusions brought, or if a minimally invasive intervention for some reason is not possible.
A fine needle is used today in the diagnosis of breast cyst aspiration essentially only for or maybe for the examination of lymph nodes in the armpit.
More for the diagnosis including mammography screening breast cancer contributions, chapter "Early detection and diagnosis," and - thematic - in other chapters of this post.
Saturday 28 February 2015
Chest Symptoms: When to see a doctor? | Breast Lumps
Palpable changes in the breast, such as unusual hardening, bulging, a "bump" or nodes, and any other unusual events - either with or without nodes, with or without pain - is the reason to go to the gynecologist. This is especially true if the node has been around for some time or increased. Also, a change that can not be clearly distinguished from the surrounding breast tissue, the doctor should examine.
Besides vertices are separated, there is another glaring symptom of the breast, which should always clarify the doctor:
Nodularity in a specific area of ??the breast
Increase in size or breast swelling, especially in comparison with other
Uneven or recovery of previously normal nipple
Leakage of fluid from the nipple, especially water-bleed or other secretions discolored
Changes in the skin: erythema, scaling, foreclosure, pitting ("orange peel")
Pain in one or both breasts
Besides vertices are separated, there is another glaring symptom of the breast, which should always clarify the doctor:
Nodularity in a specific area of ??the breast
Increase in size or breast swelling, especially in comparison with other
Uneven or recovery of previously normal nipple
Leakage of fluid from the nipple, especially water-bleed or other secretions discolored
Changes in the skin: erythema, scaling, foreclosure, pitting ("orange peel")
Pain in one or both breasts
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