BREAST CANCER AWARENESS

Breast Lumps & Other Breast Changes

 

  

சிதம்பரம் மருத்துவமனை,चिदंबरम अस्पताल

Chidambaram Hospital,

Navaladi Road,

Tisaiyanvillai. 

Tirunelvelli. 627657

 

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IF YOU FIND A LUMP

 

If you discover a lump in one breast, check the other breast. If

both breasts feel the same, the lumpiness is probably normal.

You should, however, mention it to your health care provider at

your next visit. But if the lump is something new or unusual and

does not go away after your next menstrual period, it is time to contact your Doctor.

The same is true if you discover a discharge from the nipple or skin changes such as dimpling or puckering.

You should not let fear delay you. It is natural to be concerned

if you find a lump in your breast. But remember that 80% of

all breast lumps are not cancer. The sooner any problem is

diagnosed, the sooner you can have it treated. Perform monthly

self breast exams. If you need further information, schedule an

appointment with your medical provider.

 

 

 

Most benign breast changes do not increase a woman’s risk

for getting cancer.

Over her lifetime, a woman can encounter a broad variety of

breast conditions. These include normal changes that occur

during the menstrual cycle as well as several types of benign

lumps. What they have in common is that they are not cancer.

Even for breast lumps that require a biopsy, some 90 percent

prove to be benign.

Each breast has 15 to 20 sections, called lobes, each with many

small lobules. The lobules end in dozens of tiny bulbs that can

produce milk. Lobes, lobules, and bulbs are all linked to thin

tubes called ducts. These ducts lead to the nipple, which is

centered in a dark area of skin called the areola. The spaces

between the lobules and ducts are filled with fat. There are no

muscles in the breast, but muscles lie under each breast and

cover the ribs.

These normal features can sometimes make the breasts feel

lumpy, especially in women who are thin or who have small

breasts. In addition, from the time a girl begins to menstruate,

her breasts undergo regular changes each month around the time

of menses. Eventually, about half of all women will experience

symptoms such as lumps, pain, or nipple discharge. Generally

these disappear with menopause.

Some studies show that the chances of developing benign breast

changes are higher for a woman who has never had children,

has irregular menstrual cycles, or has a family history of breast

cancer. Benign breast conditions are less common among women

who take birth control pills or who are overweight. Because

they generally involve the glandular tissues of the breast, benign

breast conditions are more of a problem for women of child-

bearing age, who have more glandular breasts.

 

 

TYPES OF BENIGN BREAST CHANGES

Generalized Breast ChangesGenerlized breast lumpiness

 is known by several names,

including fibrocystic breast changes and benign breast changes.

Such lumpiness, which is sometimes described as “ropy” or

“granular,” can often be felt in the area around the nipple and

areola and in the upper-outer part of the breast. Such lumpiness

many become more obvious as a woman approaches middle

age and the milk-producing glandular tissue of her breasts

increasingly gives way to soft, fatty tissue. Unless she is taking

replacement hormones, this type of lumpiness generally goes

away after menopause.

The menstrual cycle also brings cyclic breast changes. Many

women experience swelling, tenderness, and pain before and

sometimes during their periods. At the same time, one or more

lumps or a feeling of increased lumpiness many develop because

of extra fluid collecting in the breast tissue. These lumps normally

go away by the end of the period.

During pregnancy, the milk-producing glands become swollen

and the breasts may feel lumpier than usual. Although very

uncommon, breast cancer has been diagnosed during pregnancy.

If you have any questions about how your breasts feel or look,

talk to your doctor.

Solitary Lumps Benign breast conditions also include several types of distinct,

solitary lumps. Such lumps, which can appear at any time, may be

large or small, soft or rubbery, fluid-filled or solid.

Fibroadenomas are solid and round benign tumors that are

made up of both structural (fibro) and glandular (adenoma)

tissues. Usually, these lumps are painless and found by the

woman herself. They feel rubbery and can easily be moved

around. Fibroadenomas are the most common type of tumors

in woman in their late teens and early twenties, and they occur

twice as often in African-American women as in other American

women. Fibroadenomas have a typically benign appearance on

mammography (smooth, round masses with a clearly defined

edge), and they can sometimes be diagnosed with fine needle

aspiration. Although fibroadenomas do not become malignant,

they can enlarge with pregnancy and breast-feeding. Most

surgeons believe that it is a good idea to remove fibroadenomas

to make sure they are benign.

Cysts are fluid-filled sacs. They occur most often in women ages

35-50, and they often enlarge and become tender and painful

just before the menstrual period. They are usually found in both

breasts. Some cysts are so small they cannot be felt; rarely,

cysts may be several inches across. Cysts are usually treated by

observation or by fine needle aspiration. They show up clearly

on ultrasound. Cysts are so rarely associated with cancer that the

fluid removed from a cyst is not usually tested unless it is bloody

or the woman is older than 55 years of age.

Fat necrosis is the name given to painless, round, and firm

lumps formed by damaged and disintegrating fatty tissues. This

condition typically occurs on obese women with very large

breasts. It often develops in response to a bruise or blow to the

breast, even though the woman may not remember the specific

injury. Sometimes the skin around the lumps looks red or bruised.

Fat necrosis can easily be mistaken for cancer, so such lumps are

removed in a surgical biopsy.

Nipple Discharge

 

Nipple discharge accompanies some benign breast conditions.

Since the breast is a gland, secretions from the nipple of a mature

woman are not unusual, nor even necessarily a sign of disease.

For example, small amounts of discharge commonly occur in

women taking birth control pills or certain other medications,

including sedatives and tranquilizers. If the discharge is being

caused by a disease, the disease is more likely to be benign than

cancerous.

Nipple discharges come in a variety of colors and textures. A

milky discharge can be traced to many causes, including thyroid

malfunction and oral contraceptives or other drugs. Women

with generalized breast lumpiness may have a sticky discharge

that is brown or green. Bloody discharge always needs further

evaluation.

The doctor will take a sample of the discharge and send it to a

laboratory to be analyzed. Benign sticky discharges are treated

chiefly by keeping the nipple clean. A discharge caused by

infection may require antibiotics.

One of the most common sources of a bloody or sticky discharge

is an intraductal papilloma, a small, wartlike growth that projects

into breast ducts near the nipple. Any slight bump or bruise

in the area of the nipple can cause the papilloma to bleed.

Single (solitary) intraductal papillomas usually affect women

nearing menopause. If the discharge becomes bothersome, the

diseased duct can be removed surgically without damaging the

appearance of the breast. Multiple intraductal papillomas, in

contrast, are more common in younger women. They often occur

in both breasts and are more likely to be associated with a lump

than with nipple discharge. Multiple intraductal papillomas, or

any papillomas associated with a lump, need to be removed. 

 

CHIDAMBARAM HOSPITAL
चिदंबरम अस्पताल,
ചിദംബരം ഹോസ്പിറ്റൽ
சிதம்பரம் மருத்துவமனை,
திசையன்விளை.627657

- தீவிர சிகிச்சை மருத்தவம்
- பொது மருத்துவரம்
- பொது அறுவை சிகிச்சை
- குழந்தை அறுவை சிகிச்சை
- குழந்தை லேப்ராஸ்கோப்பி அறுவை சிகிச்சை
- லேப்ராஸ்கோப்பி அறுவை சிகிச்சை
- மகப்பேறு மருத்துவம்
- தாய்மை மருத்துவம்
- மகளிர் நோய் இயல்
- சர்க்கரை வியாதி மருத்தவம்
- X - ரே (X-Ray)
- ஈசிஜி (ECG)
- இரத்த ஆய்வு (Blood Investigation LAB)
- அல்ட்ராசவுண்ட் ஸ்கேன்
(ULTRASOUNDSCAN)
- பிசியோதெரபி பயிற்சி (PHYSIOTHERAPY)
- முக வாதம் தூண்டுதல் பயிற்சி (BELLS PALSY STIMULATION)
- துரக்கம்-முதுகு வலி நிவாரணத் பயிற்சி(TRACTION)
- மெழுகு ஓத்தLம் (WAX BATH)
- அகச்சிவப்பு கதிர் வலி நிவாரணத் ஓத்தLம்(INFRA RED Hot Fermentation)


Dr.M.I. கிறிஸ்டோபர் சாமுவேல் MBBS,MS.,FIAGES.,லேப்ராஸ்கோப்பி அறுவை சிகிச்சை நிபுணர்.,
DR.அலெக்ஸ் J கிறிஸ்டோபர் MBBS,MS,MCH.,(PAEDIATRIC SURGEON),லேப்ராஸ்கோப்பி அறுவை சிகிச்சை நிபுணர்.,
DR.அருண் G கிறிஸ்டோபர் MBBS,MD(Anaesthesia)மயக்க மருந்து நிபுணர்,Pain Management., Dip.Diab., சர்க்கரை வியாதி மருத்துவர்.,
PT.அந்தோணி றீகன் B.P.T
(பிசியோதெரபி நிபுணர்)MCSE,COPA,D.Pharm.,