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What are the small clustered cystic areas seen in the left breast.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have multiple small, clustered cystic areas in the left breast. Why?

Please advise.

Thank you.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

Nothing to worry about. Multiple small clustered lesions are benign (non-cancerous) cystic lesions. But you should also do a baseline bilateral mammogram screening (if not done early) and enroll in a breast screening clinic and a follow-up every six months or yearly as per their screening protocol.

In case you have any first-degree relatives diagnosed with breast or ovarian cancer or any other cancer, then it is better to go for genetic counseling also. The following conditions increase the risk of breast cancer:

  1. A family history of cancer.
  2. Early menarche or late menopause.
  3. Women without children.
  4. Hormone (estrogen) replacement therapy.
  5. Obesity, alcohol, and smoking, etc.

So be relaxed and just follow up with a breast clinic. It is recommended in many countries after 40 years.

I hope this helps you.

Kind regards.

Patient's Query

Hi doctor,

Thank you for the reply.

I also feel pain in her left hand and on the left back side. Are these related to the cysts in the left breast?

Please advise.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Usually, benign cystic lesions of the breast have no relation to the pain in the hand or left side of the back. You should consult an orthopedician, who will do an X-ray of the neck to rule out cervical spondylosis or any other musculoskeletal problem.

Regarding the breast, if you have done a mammogram, just attach that report next time.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I also found some discharge that is not red in color but slightly reddish. It is like water sticky. This occurs in the middle of the menstrual cycle.

Could you please tell me why this happens? No pain, nothing. Only this discharge.

Please advise.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Nipple discharge during menstruation is usually due to changes in hormonal levels in the body. That usually occurs in both breasts. But if the discharge is red in color or bloody or with smell, then it needs evaluation. Analysis of the nipple discharge plus mammogram.

Depends upon age, medical history, and clinical examination. For me, it looks like a normal nipple discharge due to hormonal changes in the body. But without examining physically, it is difficult to comment.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

It is not from the nipple but from the vagina. Just like menstruation, but not so red, reddish water, like spotting that occurs in the middle of the menstrual cycle.

Please advise.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is usually a normal phenomenon during menstruation. Because menstrual blood contains mucus, vaginal discharge, and endometrial tissue, etc. Sometimes old retained blood changes its color and makes it brownish. So it is usually a normal thing, but if you are more suspicious, contact a gynecologist.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

It occurs from the 10th or 12th day of menstruation and continues for many days till next menstruation.

Please advise.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

That means it continues for a long time, almost two weeks. Then it is better to consult a gynecologist. They will examine and may do an ultrasound of the pelvis to check the ovaries and uterus. They may also advise some hormonal tests.

I hope this helps you.

Thank you.

.

Medically reviewed by iCliniq medical review team
Published At July 21, 2018
Reviewed At May 30, 2026

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

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