Mammary lymph formation is more or less bulky, which develops in glandular tissue and are of two categories: benign (not cancerous) or malignant (cancerous that can a result of breast papilloma infestation). Only 5% of nodules show characters that could lead to their eventual malignant transformation. So, most often, mammary nodules are benign.
Mammary nodules mainly occur in women who don't have children; those that didn't breast feed, women with irregular menstrual cycles, those in which there is a familial predisposition for the disease as malignant or benign.
Nodules may be single or multiple, with unilateral or bilateral localization depending on the causes one of them being breast papilloma. The symptomatology is varied: some women accuse local pain, feeling of tension, warmth, pruritus (itching), others do not have any symptoms. Nodules on palpation feel right quadrant of the breast, but sometimes do not feel at all and are detected at routine mammography.
If breast papilloma infestation occurs breast palpation must be done individually every month at 5-10 days after menses. Checks should be made annually at a specialist whenever indicated by the doctor.
Menstrual cycle causes rhythmic monthly changes in the breast's tissue, while changes that may lead to its fibrosation. Fibrosation is physiological process, that any woman, sooner or later, develops which leads to this type of tissue in the breast. Often the fibrosation and the breast papilloma infestation are manifested by the appearance nodules.
Other causes of lumps are benign mammary cysts, breast papillomas, mammary abscess, mammary duct ectasia, pseudo nodules, fat tissue necrosis.
Benign nodules and cysts are the most frequent cause of mammary nodules. They have a round form, containing fluid, elastic consistency. They show mobility from surrounding tissue, the essential characteristic that distinguishes them from cancerous nodules. On examination you can see a secretion of a wide consistency in the nipple, clear or opaque or dense fluid.
Cysts occur most frequently in the quadrants super extern and symptoms ranging from significantly enlargement of volume or increased weight to intense pain, exacerbated sensitivity of the area, burning sensation. Cysts are evacuated using a syringe needle and their content is sent to histopathology. In most cases cysts resolve (disappear) after aspiration of the content. Specialized tests are needed for tracking the subsequent evolution (mammography and ultrasound).
Breast papilloma is a viral formation that is developed galactofore duct, near the nipple. The main symptoms are the nipple secretion which may be clear or bloody, increased local pain and tenderness. Breast papillomas are surgically excised and require no postoperative controls.
The ectasia of mammary ducts is an inherited condition that is characterized by their abnormal dilation with "blockage" and consecutive inflammation. The area is painful and through the nipple leaves a densely colored liquid. This requires antibiotic treatment.
Abscesses are localized infections, represented by purulent collections and they manifest by local pain, feeling of tension, warmth. Require surgical drainage.
Pseudo nodules are caused by hormonal fluctuations. They may occur with silicone injection or in case of cracks in silicon membranes with leaking silicone implants.
Fat necrosis occurs especially in obese women with large breasts. They can also occur in case of important contusion. Sometimes the skin may appear a corresponding node bruising (bruise).
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