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Fibrocystic Changes of the Breast

Sharon Koehler, FACS, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Benign epithelial lesions are common findings in women and can be divided into non-proliferative and proliferative, and with and without atypia.

  • Fibrocystic changes (FCC) are not a di...

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 breast, ...

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....

ADDITIONAL READING

  • Hafiz SP, Barnes NLP, Kirwan CC. Clinical management of idiopathic mastalgia: a systematic review. J Prim Health Care. 2018;10(4):312-323.

  • S...

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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