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Fibrocystic Breast Changes, Emergency Medicine

Reviewed 06/2017



  • Generalized term for benign breast changes that are poorly defined

  • No longer considered a pathologic disease process as they are found in the majority of healthy women

  • Most common of a...


Signs and Symptoms


  • Mastalgia and tenderness:

    • Persistent or intermittent

    • Often occurs during premenstrual phase of normal menstrual cycle

    • Usually bilateral

    • Pain may radiate to shoulders and...


Ed Treatment/Procedures

  • Majority of women will not require any medical treatment

  • Conservative therapy:

    • Support bra:

      • Reduces tension on supporting ligaments of the breast

      • May reduce inflammatory r...



Discharge Criteria

  • Patients with fibrocystic changes are appropriate for discharge with outpatient follow-up

  • Encourage patient to keep a breast pain record to determine whether pain...

Pearls and Pitfalls

  • Breast cancer may coexist with benign breast disease and fibrocystic changes:

    • Consider all cancer risk factors

    • Confirm follow-up plan

  • Mastitis in a nonlactating patient should be trea...

Additional Reading

  • Grube  BJ, Giuliano  AE. Benign breast disease. In: Berek  JS, ed. Berek & Novak's Gynecology. 14th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007:652–654.

  • Insti...



  • 610.1 Diffuse cystic mastopathy

  • 610.2 Fibroadenosis of breast

  • 610.9 Benign mammary dysplasia, unspecified


  • N60.19 Diffuse cystic mastopathy of unspecified breast

  • N60.29 Fibroadenosis of unsp...

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