Dr. Jenny Gandhi

WHAT IS
BREAST ABNORMALITIES?

Any unexpected changes or lumps in the breast tissue, whether benign (non-cancerous) or malignant (cancerous), are referred to as breast abnormalities. These abnormalities, which are frequently found via breast self-examinations or screening tests like mammograms and ultrasounds, can include lumps, cysts, changes in breast skin, nipple discharge, or other structural changes. Even though many breast anomalies are neither malignant or life-threatening, they nevertheless need to be properly evaluated in order to determine their nature and the best course of action.

causes

Presence of a palpable breast lump
Detection of abnormalities on breast imaging
suspicious lesions requiring biopsy
Management of benign breast lumps
Aspiration of symptomatic breast cysts
Removal of benign breast lesions without surgery
Evaluation of nipple discharge

symptoms

Palpable lump in breasts
Breast pain or tenderness localized to an area
Changes in breast texture or size of lumps
Nipple discharge or retraction
malignant lesions
causing anxiety about breast health

if untreated?

Benign lumps like fibroadenomas may remain stable or slowly grow but rarely turn cancerous.
Suspicious lumps left without biopsy or treatment pose a risk of delayed cancer diagnosis.
Cysts can cause discomfort or infection if untreated.
Larger benign lesions that grow may become painful or cosmetically concerning.
Untreated suspicious lesions can progress to malignancy, emphasizing the importance of timely intervention.

diagnosis

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Clinical Breast Exam
  • The first physical examination to find the lump, evaluating its size, shape, mobility, and tenderness.
Breast Ultrasound
  • Often performed on women under 30, this non-radiative method clearly displays size and shape while differentiating between solid fibroadenomas and fluid-filled cysts.
Mammography
  • Although they are less useful in younger women with dense breast tissue, mammograms, which are usually performed on women over 35, provide X-ray images to evaluate the characteristics of the lump.
Biopsy
  • In cases where the diagnosis is unclear, tissue samples are taken for pathological analysis using a core needle biopsy, which is carried out under ultrasound guidance to confirm fibroadenoma and rule out cancer.
Fine Needle Aspiration
  • By removing cells for analysis, fine needle aspiration (FNA), a less popular technique, can assist in differentiating benign from malignant lesions.
Core Needle Biopsy
  • Under ultrasound or stereotactic guidance, a needle collects tissue samples from the lesion for pathological evaluation.

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