Breast Cysts & Lumps

[Lilian12]

Hi Professional

I'm 43 years old Asian Lady without giving birth. I had removed bilateral  fibroadenomas breast lumps twice  in Jan'08 and in Feb'09. My maternal grandmother and grandaunt died of breasts cancer. My mother had also removed fibroadenomas lumps in Year 06.

My recent Mammography and US scan is as follows:-

Diagram puts on record a curvillinear scar at the supraarolar area of the (R) breast and laterally of the corresponding (L). A normal size lymph node is demonstrated in each axilla. Multiple benign looking cysts are demonstrated in each breast (20 in the right and 21 in the left). Shaded are complicated cysts with no solid nodule within. Two are septated sited at the 4 o'clock (L) periareolar area. These cysts range from 0.2 to 1 cm. Rest of her fibroglandular breast structures appear normal in the U/S modality.  Small area of architectural distortion is observed at the upper outer quadrant of the (R) breast, infero-laterally of the upper outer quadrant of the (L) breast and central laterally of the lower outer quadrant of the (L) breast too.

Mammogram shows a fat necrotic calcifications supero-laterally in the (R) breast. There are a few scattered small dystrophic calcifications noted. There is no clustered microcalcifications/growth suggested. There is no dilated laciferous duct. Skin margins are normal in thickness. Nipples are cleary protruded.

COMMENTS:

Biphasic study shows no clustered microcalcifications/growth

Patient has multiple cysts demonstrated in the breasts. There are 20 in the (R ) and 21 in the (L). Shaded are the complicated cysts with no echogenic nodules within. Two septated cysts are recorded at 4 o'clock (L) periareolar area.

Suggest an U/S examination for follow-up in 6 months' time after your clinical review.

May I ask due to I have 41 breast cysts will these cysts multiple again and then my breasts will be full of cysts and due to this will cause more breast pain? Do cut down on  caffeine and chocolate reduce my cysts? I  also fearful of breasts lumps recur again and what diet should I eat to prevent breasts cancer to attack me before I reach 50 as my grandmother died of breast cancer at the age of 50.

Thanks in advance for your  professional advice.

Best Regards
Anxious  

[Lilian12]

Hi Japdip

Thanks for your advice.

Regards
Anxious

[japdip]

I would consider that your breasts are nearly full of cysts now even though many are very tiny. Fibrocystic Breast Condition affects nearly one half of all women and there really isn't a lot that can be done for it. Reducing the amount of caffeine and that means any substance that contains caffeine can help some .... often these cysts are also hormone related and do frequently continue to develop and they can cause considerable discomfort. As you already know, these cysts and also Fibroadenomas are removed when they become either vrey large or cause a lot of pain. A good supportive (sports type) bra can be of some help with the pain. I wish I could tell you of something that would prevent breast cancer but that knowledge has so far escaped us. The best thing in your position would be to have frequent screenings to track any changes that may occur. Actually family history accounts for only a small percentage of breast cancer cases.    Regards ....