What is the cause of the lump on the right side of the breast?

Gynecological diseases are common among women. Diseases such as breast fibroadenoma and vaginitis often trouble them. In addition to paying more attention to their own condition and maintaining personal hygiene, they should also have regular gynecological examinations so that they can prevent and treat some diseases in advance. What is the cause of the lump on the right side of my breast? You may have breast fibroadenoma. Here we will introduce the symptoms and examination methods of breast fibroadenoma.

1. Symptoms

1. Lump

Most of the lumps in the breast are discovered accidentally. Two-thirds of the lumps are between 1 and 3 centimeters in size, and some are larger than 10 centimeters, and the largest can reach 24 centimeters. The lesions are mostly located on the upper outside of the breast, mostly solitary, a few are multiple, round or oval in shape, with clear boundaries, smooth surface, toughness, good mobility, and no adhesion to the epidermis and pectoral muscles.

2. Pain

Most of them are painless lumps, and only 14% have mild pain, which is intermittent or occasional or stimulated during menstruation.

3. Nipple

There is clear discharge, but it is rare, accounting for about 0.75%.

4. Axillary lymph nodes

Not swollen.

2. Inspection

1. Medical history

When asked about the age of onset, it was found that this tumor is more common in young women. It usually presents as a painless breast lump that often grows slowly.

2. Physical examination

Breast lumps may be oval or elliptical in shape and vary in size, with small ones like cherries and large ones exceeding 10 cm in diameter (if the diameter of the tumor is ≥ 7 cm, it is called a giant fibroadenoma); they are as hard as hard rubber, with a smooth surface and clear boundaries, and are not adhered to surrounding tissues and slide easily to the touch. The tumor may be multiple, but most are solitary.

3. Auxiliary examination

Breast X-ray, B-ultrasound, and infrared thermal imaging can be performed to help with diagnosis.

(1) In patients with a high amount of breast fat, mammographic target X-ray examination shows that fibroadenomas appear as round, sharp-edged masses or shadows with uniform density. In some cases, a thin translucent halo may be seen around the tumor. No hypervascularity was observed. In dense breasts, the tumor does not show up clearly on X-rays because the density is similar to that of breast tissue. Some tumors may undergo calcification, which may be in the form of flakes or coarse-grained calcification foci with irregular outlines, ranging in size from 1 to 25 mm, which is completely different from the fine sand-grained calcification of breast cancer.

(2) Ultrasound examination Ultrasound examination can show the soft tissue structure at each level of the breast and the shape, size and density of the mass. The tumor body of fibroadenoma is mostly a round or oval low-echo area with clear and neat boundaries, uniform internal echo distribution, appearing as weak light spots, complete posterior wall lines, and lateral acoustic shadows. The echo behind the tumor is enhanced. If there is calcification, an acoustic shadow may appear behind the calcification point. In recent years, the use of color Doppler ultrasound to detect the blood status of breast tumors to determine whether the tumor is benign or malignant has been very helpful in diagnosing this disease.

(3) Fine needle aspiration cytology examination shows a needle sensation between tough and brittle, and the number of cells aspirated is usually large. The ductal epithelial cells are mostly distributed in clusters and sheets, arranged neatly and without overlapping, like bricks, and have a large number of bipolar naked-nucleated cells. The diagnostic conformity rate is over 90%. A few cells have larger nuclei, obvious heteromorphism, rough chromatin, and cells of varying sizes, which may be misdiagnosed as cancer and cause false positives. Special attention should be paid.

The above is an analysis and introduction to the lump on the right side of the breast, which may be breast fibroadenoma. It is not scary to suffer from breast fibroadenoma. You should seek medical attention in time. It can be completely treated with medical means now. Remind male friends to pay more attention to the health of women around them, and spend more time with them if they are sick. We should pay more attention to them.