Hello. Can A Breast Cyst Evolve From Liquid To Solid?

Posted on Fri, 14 Aug 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 14 Aug 2020 Answered on

Last reviewed on

Question : Hello. Can a breast cyst evolve from liquid to solid? How should I treat a solid cyst?

Answered by Dr. Bhagyesh V. Patel (34 minutes later)

Brief Answer:
change in consistency of cyst possible. details as below.

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here is my advice.

* A breast cyst can evolve from liquid to solid from underlying changes in
the pathology process of inflammation or else.

* Depending upon the type of cyst and clinical perspectives, there are
various options of management such as observation, FNAC, biopsy with or
without surgical excision.

However, the following details are mandatory for further discussion on more relevant ground clinically.

1. What is the current complaint and progress of the condition since the beginning?

2. Is any ultrasound report available? If so, kindly upload as an attachment during follow up discussion.

3. History of menstrual irregularity if any and any relation of breast pain to
mid menstrual cycle time or others particularly?

Awaiting your response...
Regards.
Dr. Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bhagyesh V. Patel (27 hours later)

Biopsy showed erythrocytes, drops of fat, basophilic cystic substance in left breast. 3 ultrasounds were made and none of them showed any cyst, but oncologist did palpation and ultrasound and found a cyst. I think oncologist was wrong because other 3 ultrasounds out of 4 ultrasounds didn't show any cyst. Can cyst hurt? The breast doesn't hurt. Rarely my friend has pain in her left shoulder blade, neck and back it goes from left shoulder blade to the right. Can this pain be related to a breast? When she did self check up she can feel something in her breast. One of the ultrasounds ultrasound technician told her it can be mammary gland and she has nothing to worry about. Can it be mammary gland?Because it feels like oval shape in 1cm. Oncologist told to do general anesthesia and surgery will be 10 minutes under general anesthesia because if she chooses to do local anesthesia it will hurt and it will take 25-40 minutes. I just want to know if that's true?

Answered by Dr. Bhagyesh V. Patel (9 hours later)

Brief Answer:
surgery not recommended at this stage in any manner.

Detailed Answer:
Hi
Thanks for the further details.

* As there are no symptoms , the whatever condition underlying is not of
significant pathology alterations for sure.

* I agree with the Radiologist findings of not having cyst, rather than
Oncologist self Ultrasound evaluation.

* It may be possible that normal physiological alteration in tissue structure
could be considered as cyst by Oncologist.

* So far as shoulder blade pain is concerned, it has nothing to do with breast
issue.

* I would recommend just observation of the condition over a period of time
and regular Ultrasound evaluation by expert Radiologist every 6 months to
look into the matter.

* As per my surgical experience, I strongly suggest that she should not take
decision of any type of surgery at present.

* What she feels abnormal may be many times non specific in nature as the
more concern of breast cancer among women make them susceptible to
think of odd conditions, but the Ultrasound of the Radiologist is the final
answer to the situation.

Hope this will enlighten the issue more clearly.
Welcome for any further assistance.

Have a great day.
Regards.

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Kampana