Fibrocystic breast disease

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Female breast

Fibrocystic breast disease

Mammary dysplasia; Benign breast disease

• A dense, irregular and bumpy "cobblestone" consistency in the breast tissue
• Usually more marked in the outer upper quadrants
• Breast discomfort that is persistent, or that occurs off and on (intermittent)
• Breast(s) feel full
• Dull, heavy pain and tenderness
• Premenstrual tenderness and swelling
• Breast discomfort improves after each menstrual period
• Nipple sensation changes, itching

Note: Symptoms may range from mild to severe. Symptoms typically peak just before each menstrual period, and improve immediately after the menstrual period.

Physical examination reveals the presence of mobile (non-anchored) breast "masses." These masses are usually rounded, with smooth borders, and either rubbery or slightly changeable in shape. Dense tissue may make the breast examination more difficult to interpret.

• Mammography may be difficult to interpret due to dense tissue.
• A biopsy of the breast may be necessary to rule out other disorders.
• Aspiration of the breast with a fine needle can often diagnose and treat larger cysts .

Review Date: 05/15/2006
Reviewed By: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMedHealthcare Network.