Fibrocystic Breast Changes Flashcards
1
Q
what is fibrocystic breast change?
A
benign condition where small lumps are felt in the breast
2
Q
what are the sorts of changes that occur in fibrocystic breast change?
A
cysts
fibrosis
adenosis
3
Q
who gets fibrocystic breast change?
A
women aged 20-50
related to oestrogen exposure (early menarche and late menopause)
4
Q
presentation
A
itchiness, nipple discharge
fluctuation in size with menstrual cycle
generalised pain (luteal phase)
small lumps
5
Q
diagnosis
A
FNA (can be used to drain cysts too)
mammography or USS
core biopsy
6
Q
management
A
exclude malignancy NSAIDs supportive bra avoid caffeine hormonal treatments excision if necessary
7
Q
hormonal treatment options
A
danazol
bromocriptine
OCP
tamoxifen
