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Fibrocystic Changes of the Breast

Sharon L. Koehler, DO, FACS and Maria A. Pino, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Fibrocystic changes (FCC) is not a disease but refers to a constellation of benign histologic findings. It is the most frequent female benign clinical breast finding.

  • FCC may also be ...

DIAGNOSIS

HISTORY

  • Obtain personal history of breast biopsy and family history of breast disease (benign or malignant). It is important to ascertain if the patient has a known family history of BRCA1- o...

TREATMENT

  • After ruling out malignancy by means of examination and/or imaging and diagnostic procedures, FCC may not require treatment and often resolves with time.

  • Cool compresses, avoiding trauma, and...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Condition is benign, chronic, and recurrent. 

Patient Monitoring

  • Follow-up times are variable, depending on the clinical situation and pertinent family history.

  • US i...

REFERENCES

1 Pearlman M, Griffin J, Swain M, et al; for American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. Practice Bulletin No. 164: diagnosis and manag...

ADDITIONAL READING

  • Amin AL, Purdy AC, Mattingly JD, et al. Benign breast disease. Surg Clin North Am.  2013;93(2):299–308.  [View Abstract]

  • Barton MB, Harris R, Fletcher SW. The rational clinical...

CODES

ICD10

  • N60.19 Diffuse cystic mastopathy of unspecified breast

  • N60.09 Solitary cyst of unspecified breast

  • N60.29 Fibroadenosis of unspecified breast

  • N60.01 Solitary cyst of right breast

  • N60.11 Diffuse ...

CLINICAL PEARLS

  • FCC of the breast comprise a spectrum of histopathologic changes are a common finding in reproductive-aged women. The former term of fibrocystic disease is a misnomer.

  • Atypia, as demons...

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