Fibrocystic Change Flashcards Preview

Breast core conditions > Fibrocystic Change > Flashcards

Flashcards in Fibrocystic Change Deck (9)
Loading flashcards...
1
Q

What is fibrocystic change

A

Non-cancerous breast lumps

2
Q

Who is affected

A

50% women of child-bearing age

3
Q

What is the cause

A

Unknown –> oestrogen probably cause

- Subsides after menopause

4
Q

What are some risk factors

A
  • Iodine deficiency –> enhances breast sensitivity to oestrogen
5
Q

How does it present

A
  • Discomfort – usually in relation to hormonal menstrual cycle changes – symptoms peak before period
  • Rubbery, well-circumscribed, mobile mass (breast mice)
  • Usually confined within the upper outer edge of breast
  • Tender, itchy nipple sometimes green/brown non-bloody discharge
  • Lumps can blend into surrounding tissue
  • Pain/tenderness
  • Lumps fluctuate size w/ menstrual cycle
6
Q

What are some DDx

A
  • Fibro-adenoma
  • Fat necrosis
  • Intra-ductal papilloma
  • Breast abscess
  • ADH + ALH
  • Breast cancer
  • DCIS
7
Q

What investigations do you perform

A

Clinical breast exam
Breast ultrasound
–> Simple cyst = internal echoes, complex cyst = cystic + solid components
–> distinguish fluid filled + solid mass
Mammography
–> cannot distinguish between cystic + solid mass
Fine needle aspiration/biopsy

8
Q

What is the complication

A
  • may slightly increase risk breast cancer

- cancerous tumour detection more difficult

9
Q

How do you treat fibrocystic change

A
  • If asymptomatic - no Tx
  • Fine needle aspiration –> drain fluid (confirms cyst) + collapses
  • Surgical excision