Simple or complicated cysts (see “ Breast cysts” for details).The imaging findings in fibrocystic breast changes are heterogeneous and include the following. Imagingįollow age-appropriate diagnostic workup for a palpable breast mass. See also “ Breast mass,” “ Mastalgia,” “ Nipple discharge,” and “ Breast cysts” as needed.Īll patients with a palpable breast mass should be evaluated appropriately, even those with suspected fibrocystic breast changes.Diagnostic workup should be guided by clinical findings.Obtain a thorough medical history and perform a CBE in all patient.Proliferative breast lesions with cellular atypia require surgical excision as they are associated with an increased risk of breast cancer. Management of breast lesions without cellular atypia is primarily symptomatic. Tissue biopsy, usually a core-needle biopsy, is indicated if there is a clinical suspicion of malignancy. The diagnosis is made during the workup of symptoms (e.g., mastalgia, palpable breast mass, nipple discharge) or incidentally on clinical breast examination and/or imaging. Patients typically present with premenstrual bilateral multifocal breast pain with or without palpable nodules, which may be tender. Histologically, fibrocystic changes are divided into nonproliferative breast lesions (e.g., simple breast cysts, apocrine metaplasia) and proliferative breast lesions (e.g., ductal epithelial hyperplasia, sclerosing adenosis). Women between 20 and 50 years of age are most commonly affected. Fibrocystic breast changes is a nonspecific term that includes a heterogeneous spectrum of breast conditions.
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