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Fibrocystic Changes of the Breast

Sharon L. Koehler, DO, FACS Reviewed 06/2020
 


BASICS

DESCRIPTION

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

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
Guray M, Sahin AA. Benign breast diseases: classification, diagnosis & management. Oncologist.  2006;11(5):435–449. [View Abstract on OvidMedline]
2
Pearlman M, Griffin J, Swain Met...

ADDITIONAL READING

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

  • Barton MB, Harris R, Fletcher SW. The ration...

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 that are a common finding in reproductive-age women. The former term of fibrocystic disease is a misnomer.

  • Atypia, as de...

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