Breast: Fibrocystic Change/Disease

Definition

• Definition: A Heterogenous Group of Benign Non-Proliferative Lesions
• The Most Common Benign Breast Entity
• Associated with Increased Estrogen, Progesterone & Prolactin
• Rarely Seen Post-Menopause

Presentation

• Bilateral
• Cyclic Breast Pain
• Tender Nodular Breast Tissue – May Vary with Cycle
• Most Common in the Upper Outer Quadrant
• May Have Yellow or Green Nipple Discharge

Diagnosis

• Consider Imaging (Mammogram/US) & Core Needle Biopsy as Indicated for Suspicious Lesions
• *See Breast: Breast Mass Evaluation

Treatment

• No Treatment Required if No Suspicious Lesions are identified