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Treatment of cyst in breast during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello Doctor
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
Doctor :   please proceed with your health query
Doctor :   how can I help you?
User :   Doctor, my wife is 5 1\2 month pregnant now
User :   now we noticed that she is having a cyst in her right breast
Doctor :   ok. was this examined by her doctor?
User :   yes doctor. the doctor said it may be some fibra.....
User :   but the doctor was not sure
Doctor :   ok. during pregnancy, the firoadenoma breast can increase in size due to hormonal changes
User :   also my wife is pregnant so it is not good time to take memogram or other disgnosis
Doctor :   if the lump is painful, then a careful resection can be done to excise it, or Vit-E capsules can eb taken for temporary relief
Doctor :   *be
Doctor :   what symptoms is she having at present?
Doctor :   could you tell me the approximate size of the lump in breast?
User :   the right breast is bigger then left. since right is having lump.
User :   the size is around 1 to 1.5 cm
Doctor :   fibroadenomas can be present for p=years without any symptoms, and get worse during pregnancy leading to diagnosis.
Doctor :   is there any pain, discomfort, discharge associated?
User :   mild to moderate pain she is feeling often
User :   i think mild pain, not continuesly...
Doctor :   if symptoms are not severe, then leave it alone until she completes pregnancy
Doctor :   give her Tab Evion 200 mg 2 times a day for 15 days and see if there is any improvemnt
User :   ok doctor
Doctor :   if there is no improvement, then stop taking it and wait till she completes her pregnancy and get it removed via minor surgery
Doctor :   if there is improvement in symptoms, then let her continue to take it
User :   she is fearing that it might be cancer
Doctor :   why? does she have family history of breast cancer?
Doctor :   is she loosing weight? is she loosing appetite?
User :   no doctor.. she read some news paper and start worrrying about that
User :   she is gaining weight.
Doctor :   tell her to stop worrying, cancer of breast does not usually grow, it makes breast shrink and get wrinkled appearance to start with
Doctor :   the area below which the cancer is present, will have orange peel like appearance of skin
User :   ok doctor.
User :   we took a blood test
User :   and WBC is 0000
User :   is that normal?
Doctor :   and she will have pain and pulling like efect
Doctor :   WBc is a bit elevated. do not worry about it.
User :   ok doctor..
Doctor :   if she is still worried about cancer
Doctor :   then let her go ahead with a blod test
Doctor :   to look for tumor markers in blood suggesting presence of cancer
Doctor :   talk about this with her gynecologist in her next visit
Doctor :   or meet an experienced gynecologist for this purpose
User :   ok doctor
Doctor :   have you followed what I have said'
Doctor :   is there anything else I can help you with?
User :   Actually the gynecologist suggested the blood test because of her worry and the gynecologist said there is no immature or abnormal in blood..
User :   is that the test your are mentioning..
Doctor :   no, I am talking about other special test
User :   oh ok doctor... what is the test name
Doctor :   to look for presence of breast cancer cells/hormones in blood
Doctor :   it is called tumor marker test
User :   ok doctor. if it is cancer is that curable?
Doctor :   in the early stages, it should be removed
Doctor :   and patient should be given chemotherapy and radiotherapy
Doctor :   at her age, it will not be breast cancer
Doctor :   do not worry about it
Doctor :   it usually affects women after 40 years of age
Doctor :   go ahead with the tests suggested
User :   ok doctor...
User :   Doctor I have another question.
Doctor :   yes please proceed
User :   I have a small pencil rubber size lump in my back head
User :   for almost 1 year
User :   it is not paining or growing
User :   right top of my back head
User :   it is as hard as bone
User :   not as hard as bone.. but it is hard
Doctor :   ok. is it movable?
User :   no doctor
Doctor :   is teh skin on top of it movable?
User :   yes doctor
Doctor :   was there any injury assocaited?
User :   I dont remember doctor
Doctor :   is there any changes over the skin on top of it?
User :   no doctor.. it is normal
Doctor :   is there any redness, shiny or stretched skin over it?
Doctor :   is tehre any pain, discomfort associated?
User :   no doctor
Doctor :   is there any pain associated when you touch it?
User :   no doctor.. no pain even if i press
Doctor :   ok. then it might be a lymph node swelling
User :   but it present for 1 year
Doctor :   you can request your doctor for an FNAC (fine needle aspiration cytology) or a biopsy to see if it is lymph node alone or with any cancer changes
User :   ok doctor..
Doctor :   if it is found to have any abnormal cells, then it shoul dbe removed
User :   ok doctor
Doctor :   if it is a lymph node alone, then you can levae it alone as long as you do not have any pain, or changes in the skin over it or in its consistency
Doctor :   *leave
Doctor :   have you followed what I have said?
User :   ok doctor
User :   yes doctor
User :   if it is cancer is that curable?
Doctor :   is there anything else I can help you with?
Doctor :   as I said earlier , early diagnosis and treatment is fine.
User :   ok doctor..
Doctor :   it also depends on the type of cancer detected
User :   ok doctor
Doctor :   few are treated with removal alone
Doctor :   few need chemotherapy and/or radiotherapy
Doctor :   if you are worried about cancer, then do not delay further investigations
User :   ok doctor
User :   thank you so much. I will consult with a doctor this week
Doctor :   meet a general surgeon and request for FNAC/biopsy
User :   is there any best hospital for this in chennai
Doctor :   is there anything else I can help you with?
Doctor :   Apollo Hospital Chennai would be fine
User :   Thats all doctor.. thank you so much..
Doctor :   you will have all facilities under one roof
User :   thank you doctor.
Doctor :   thanks for consulting me. bye for now.
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