概述

乳腺囊肿是乳腺内部形成的充满液体的囊性结构,通常是非癌性的(良性)。您可能有一个或多个乳腺囊肿。乳腺囊肿的触感常常有如一颗葡萄或灌水的气球,但有时摸起来是坚韧的。

除非乳腺囊肿较大并且让您感到疼痛或不适,否则不需要治疗。需要治疗时,将乳腺囊肿内的液体引流可以缓解症状。

尽管乳腺囊肿可见于任何年龄的女性,但更常见于绝经前的妇女,通常是 50 岁以下。乳腺囊肿也常出现在接受激素治疗的绝经后女性中。

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症状

乳腺囊肿可在单侧或双侧乳房出现。乳腺囊肿的体征和症状包括:

  • 边缘平滑且容易移动的圆形或椭圆形肿块(通常但并非一定指示为良性)
  • 乳头溢液,可为透明、黄色、淡黄色或深褐色
  • 乳房疼痛或乳房肿块区域压痛
  • 在经期即将开始前,乳房肿块增大、乳房压痛感加强
  • 经期过后,乳房肿块变小、其他症状消退

出现乳腺囊肿不会增加患乳腺癌的风险。但是,出现囊肿可能会导致更难发现新的乳房肿块,或者可能需要由医生评估的其他变化。来月经时,您可能会感觉乳房胀痛,请务必留意乳房在整个月经周期间的感觉,以便及时发现异常。

何时就医

正常的乳房组织通常有肿块或结节感。但如果您感觉新发乳房肿块不会消退、逐渐变大,或在一两个月经周期过后仍持续存在,请立即就医。如果您的一侧或两侧乳房均出现新的皮肤变化,也请就医。

病因

每侧乳房都有腺组织叶,排列成雏菊花瓣状。每个腺叶又分成若干小腺叶,这些小腺叶会在妊娠期间和哺育期间分泌乳汁。维持乳房形状的支撑组织由脂肪组织和纤维结缔组织构成。乳腺囊肿是由乳腺内发生液体积聚所致。

乳腺囊肿可以按照囊肿大小来定义:

  • 微囊肿在乳腺 X 线摄影或超声检查等影像学检查中可能会看到,但因为太小而无法被患者察觉。
  • 大囊肿则很大,患者能够察觉到,并且可以长到直径约 1 至 2 英寸(2.5 至 5 厘米)。

专家尚不清楚乳腺囊肿的确切病因。可能是月经来潮引起激素水平变化所致。

风险因素

Factors that may increase the risk of breast cysts include:

  • Hormonal imbalance. An imbalance between the hormones estrogen and progesterone may play a role in breast cysts, especially if there is too much estrogen.
  • Hormone changes during the menstrual cycle. Cysts can get bigger or hurt more because of the changes in hormones that happen every month.
  • Being in your 30s or 40s. Cysts are more likely to happen in people ages 35 to 50. It is less common for cysts to happen before age 20 or after menopause.
  • Taking hormone therapy for menopause. Using hormone medicine to help with menopause symptoms might raise the chance of getting breast cysts. This can happen whether someone is still going through menopause or has already finished it.
  • Ovarian disease. People with polycystic ovary syndrome, also called PCOS, have a higher risk of breast cysts.
  • Not giving birth. People who have not given birth or who wait until they are older to have a child may be at higher risk. This may be due to a longer period of monthly increases in estrogen and progesterone from menstruation.

Pregnancy itself doesn't increase the chances of cysts, but the hormone changes the happen during pregnancy may make smaller cysts in the breasts larger and easier to feel.

Jan. 09, 2024
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