Does a breast cyst of 15×10mm require surgery?

Whether a breast cyst of 15×10mm requires surgery depends on its specific nature. Not all cysts require surgery. If the cyst is simple, asymptomatic, does not affect life, and has no signs of malignant changes, regular observation can be chosen; if the cyst is accompanied by pain, discomfort, or is suspected of having a tendency to malignant changes, further treatment, including surgery, may be required.

Breast cysts are a common breast problem, usually caused by degenerative changes in breast glandular tissue or fluctuations in hormone levels, resulting in fluid cysts that form cystic structures of varying sizes. Simple cysts are generally benign and may have no symptoms at all. They are only found during physical examinations or imaging tests such as ultrasound; some cysts may cause pressure or periodic pain. If the cyst has clear boundaries and is liquid and free of sediment, doctors usually recommend follow-up observations every 6 months to 1 year without excessive concern. However, if the cyst grows rapidly, has blood flow signals inside, nodules are felt everywhere, or is accompanied by nipple discharge, be alert to the possibility of malignancy, and further puncture biopsy, cytological analysis, or enhanced imaging may be required to confirm the diagnosis.

For the treatment strategy of breast cysts, non-invasive methods should be considered first, such as fine needle aspiration under ultrasound guidance, which can quickly relieve the pain caused by cyst fluid pressure. In addition, some patients can relieve cyst symptoms by adjusting hormones and reducing irritating diets (such as coffee, tea, and cocoa). If the cyst recurs or is accompanied by malignant potential, surgical resection (such as local lumpectomy) may be a more clear solution. For larger cysts (such as 15×10mm or larger), the decision to operate usually needs to be combined with the following factors: symptom severity, risk of malignancy, and the patient's personal wishes.

When facing breast cysts, it is key to maintain regular breast ultrasound follow-up. Early detection of problems will help timely intervention. If you find out that you have similar problems during the examination, you should take the examination report to consult a professional doctor to avoid anxiety. Breast health is closely related to diet, mood, and living habits. Try to maintain a healthy lifestyle and have regular physical examinations. Most breast cysts are not critical conditions, but your health needs careful care. It is the wisest choice to seek professional help in time when abnormalities are found.