The causes are not clearly established. Tsistoadenopapilloma usually develops on the background of nodular or diffuse fibrocystic mastitis, papilloma formation in cystic modified, extended ducts. It is believed that there is a dependence on the occurrence of papillomas hormonal abnormalities.
The main manifestation is discharge from the nipple- Serous (clear) and spotting. isolation often cause inconvenience, stain laundry. Occasionally, for large sizes, the tumor may be palpable. With careful palpation of the breast areola defined in the seal in the form of a rounded education elastic consistency. Peripapillary node located in central zone. When pressed on it from the mouth of the duct at the nipple appear bloody drops. After completely emptying the contents flow from the tumor disappears. If the tumor walls are thickened due to inflammation, the tumor is dense and painful.
The survey includes ultrasound, mammography,cytological examination of discharge from the nipple. Additionally, it may be administered with contrast mammography (introduction of contrast medium in the ducts of the mammary glands).
Single or multiple tsistoadenopapillomyare associated with an increased risk of developing breast cancer. Tsistoadenopapilloma can ozlokachestvlyatsya and turn into breast cancer. But this is not always happening.
In this regard, these recommended treatmentstumors. Surgery is recommended in cases of suspected malignancy, expressed in any of the methods of inspection. In the absence of data for the regeneration can be carried out surveillance. Surgery is usually performed under general anesthesia and involves removal of breast tissue, where the papilloma.
Previously, operations were carried out with the removal of the nipple thatinevitably leads to a cosmetic defect. Currently performed surgery with preservation of the nipple (resection of the central zone). When the location of the tumor is a central breast area performed the standard sectoral resection, in which a small incision through the damaged ducts removed. During the operation, the shape and size of the chest not affected. In identifying the malignancy of the tumor is performed radical intervention - or mastectomy sparing surgery.
To prevent tsistoadenopapillomy should regularly undergo instrumental examination in mammalogy.
Causes of lipomas is unknown. They are believed to arise as a result of plugging the outlet duct of the sebaceous gland, but the reasons for this and, therefore, causes a lipoma and science has not yet been established.
Lipoma is not dangerous. Lipomas in the subcutaneous adipose tissue regenerate are rare (in liposarcoma), in breast liposarcoma - an extremely rare phenomenon. Lipoma do not degenerate into cancer.
Dimensions lipomas can vary from pea toquite large, comparable to the size of the baby's head. Lipomas breasts may rapidly increase in size and deform the mammary gland, and lipoma growth is not dependent on the state of the organism. It continues to grow, accumulating fat even when general exhaustion.
Diagnosis is to conduct the inspection,mammography, ultrasound, cytology. But the most accurate method of diagnosis of lipomas is computer tomography, which allows to clearly differentiate fatty tissue, which is characterized by a low rate of absorption of X-rays, with a dense soft tissue structures.
As a rule, it is recommended to remove the tumor. The indications for surgery are a great size and localization of lipoma, in which there are functional disorders or cosmetic defect. Weather favorable, although lipomas may recur. Usually performed enucleation of the tumor (husking), rarely (in cases of suspected breast cancer) - sectoral breast resection.