1.1 What is fibrocystic changes of breast?
Fibrocystic changes of the breast, commonly known as breast fibroadenosis, is one of the most common benign breast conditions. It primarily affects women between the ages of 20 and 50, and it is estimated that over 60% of women in their reproductive years are affected.
The development of fibrocystic changes is closely related to the secretion of female hormones. It is likely influenced by fluctuations in hormone levels during the menstrual cycle. It is important to note that fibrocystic changes are a benign breast condition and not a disease. They do not increase the risk of developing breast cancer in women.
1.2 Symptoms of fibrocystic changes of breast
Most women with fibrocystic changes of the breast do not have any clinical symptoms. However, some women may experience breast swelling, tenderness, or the presence of breast lumps. These sensations may be more pronounced in the days leading up to menstruation.
Fibrocystic changes can also give rise to actual breast lumps, such as breast cysts or fibroadenomas.
1.3 Diagnosis of fibrocystic changes of breast
If you have any suspicions, please consult a doctor for an accurate diagnosis and appropriate treatment plan. Doctors generally recommend a Triple Assessment for diagnosis, which includes:
Clinical Examination
The doctor will first inquire about the patient’s medical and family history, as well as their symptoms, and then conduct a clinical examination. During the examination, the doctor will carefully assess and record clinical information such as the size, location, and characteristics of the breast lump.
Imaging Studies
Imaging studies include mammography and ultrasound. In addition to revealing the location and size of the lump, mammography and ultrasound can also show features such as calcifications, lymph nodes in the armpit, and uniformity of echoes. Furthermore, imaging studies can help the doctor identify any other lesions in both breasts that may have gone unnoticed.
Pathological Examination
Pathological examination involves fine-needle aspiration cytology and core needle biopsy. If a lump is detected by the doctor, cells or tissue will be extracted from the lump and subjected to detailed pathological examination under a microscope to determine the nature of the mass and provide a definitive pathological diagnosis.
After the Triple Assessment, the doctor can reach an accurate diagnosis and develop an appropriate treatment plan for the patient.
1.4 Management of fibrocystic disease of breast
As fibrocystic changes of the breast are considered normal physiological variations, most women with fibrocystic changes do not require any treatment. Regular observation is usually sufficient to ensure that the condition does not worsen.
If a patient experiences breast pain, over-the-counter pain relievers or nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to alleviate the discomfort. Additionally, oral contraceptive pills can help reduce hormonal fluctuations during the menstrual cycle, thereby alleviating breast pain.
For larger or painful breast cysts, the doctor may recommend fine-needle aspiration. This procedure involves draining fluid from the breast cyst to provide relief from symptoms.
1.5 Do I need regular follow-up for fibrocystic disease of breast?
Doctors recommend women with fibrocystic changes of the breast to undergo regular clinical breast examinations and imaging scans to ensure that there are no changes or growth in the breast tissue.