I have been diagnosed with breast cyst. Biopsy done. Results shows with simple and complex cyst with ductal ectasia. Tumor in the size of 0.3 to 0.7 cm 4 months back. Doctor told it is fibrocystic disease. He didn?t give any medication. He told to come after 6 months. But I am feeling pain in the armpit. Already I have auxiliary Breast. Now auxiliary Breast size increased. Kindly give me suggestions.

Dr. Nikhilesh BorkarOncologist14yrs exp

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The accessory Breast can be removed surgically if size is causing problems. Most likely you are suffering from mastalgia which is usually accompanied by fibrocystic disease. It is pain due to hormonal stimulation of the breast tissue. It may resolve spontaneously with pregnancy. Reassurance and supportive sports bra (especially in large breasts) have shown to be effective in most women. Usually Vitamin E 400 mg 2-3 capsule daily or/ and Evening Primrose Oil 2000-3000 mg daily Containing 240-360 mg GLA which comes to is the initial amount prescribed for 2-3 months. If response is good then the dose may be decreased for 3 more months and then stopped. The symptoms may never recur. But relapses are also known. If there is no response to above, then we usually shift to Danazole, Bromocriptine or SERM (tamoxifen or ormeloxifen) Bromocriptine is costly and causes nausea, vomiting and headache. Danazole has troublesome androgenic side effects. Tamoxifen is known to cause DVT or cataract but usually for long term or higher dose of 20 mg, which is given in breast cancer. We recommend 10 mg daily for 3 months. Ormeloxifen is the indian drug previously called centchroman or Saheli. It is usually given as 30 mg daily or alternate day schedule. Some patients may develop ovarian cysts on daily schedule. It works well with non cyclical as well as cyclical mastalgia. Some prefer it as the first line of treatment. If you need further clarification, feel free to contact me directly.  

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