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Overview

Fibrocystic Breast Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Mammary dysplasia; Diffuse cystic mastopathy; Benign breast disease; Glandular breast changes; Cystic changes; Chronic cystic mastitis; Breast lump - fibrocystic

How is the treatment done?

A condition symptomatic of painful and lumpy breasts, fibrocystic breast disease is a condition causing symptoms like tenderness and discomfort of the breasts normally during premenstrual periods, lumpy masses in the breasts which are often asymptomatic and sudden appearance and disappearance of benign masses in the breasts, pain and discomfort under the arms. Usually a fibrocystic breast condition does not require invasive treatment and it can get healed either on its own or may be rectified with the help of some useful home remedies. But there can be a threat of breast cancer development if the symptoms aggravate. So, if there are no symptoms or mild symptoms, no treatment is needed. For relief of symptoms your healthcare practitioner can recommend you some self-care measures like taking over-the-counter medicines, oral contraceptives, or putting on a well fitting or a sports bra or applying hot and cold compression on the breasts. A surgery is usually never recommended or done for treating fibrocystic breast disease. In case there is a cyst in the breast it can sometimes be treated by puncturing and draining it. Some lifestyle changes are also helpful in treating the symptoms. In certain cases where there are enlarged and painful cysts, treatment options may be warranted like fine-needle aspiration and surgical excision.

Who is eligible for the treatment? (When is the treatment done?)

Treatments that include over-the-counter pain relievers like acetaminophen (Tylenol) and ibuprofane (Advil) effectively relieve discomfort and pain in a fibrocystic breast condition. In certain cases doctors can treat severe symptoms with tamoxifen which is a drug used in treating breast cancer or oral contraceptives. Also you can be advised to take a diuretic which can help drain the fluid (fluid in the fibrocystic breasts too) from the body. Treatment of fibrocystic breasts can include relieving symptoms and correcting hormonal irregularities. Relieving symptoms like pain and tenderness can be done using anti-inflammatory medications like acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs). Also several vitamins like vitamin A, B6, C, and E can be used in relieving the symptoms. Some patients who were once subjected to hysterectomy and are on hormone therapy can go ‘off estrogen’ for about 5 days during every menstruation cycle to avoid breast tissue stimulation at all times. Diabetes and thyroid dysfunctions are some of the endocrine disorders that can result in fibrocystic breasts. So, treating these disorders can help treat fibrocystic breast condition too. An androgenic steroid called danazol (Danocrine) has also proved to show good results in relieving symptoms. In very rare situations, the condition can require surgical excision or fine-needle aspiration. In surgical excision a persistent cyst-like lump is removed from the beast which did not remove with other treatment options and medications. Fine-needle aspiration is another option which can actually be considered before applying surgical excision. Fine-needle aspiration method involves draining the fluid out from the cysts, thereby collapsing it and relieving the discomfort.

Who is not eligible for the treatment?

Women who experience the pain, tenderness and discomfort in the breasts just before the periods and palpable lumps are felt inside the breasts even after applying simple home remedies for treatment. Women under 35 years of age can go for a breast ultrasound and the ones over 40 should have a mammogram done after discussing with the doctor.

Are there any side effects?

Women whose lumps in the breasts resolve on their own or with simple home remedies are not required to go for medications and other treatments.

What are the post-treatment guidelines?

Medications for treating fibrocystic breast disease can cause side-effects and hence it is better to avoid such treatment methods. But in case you have to consider these treatments, you can also expect the side effects that come along. The side-effects of tamoxifen are hot flashes, fatigue, headaches, depression and mood swings, increased tumour and bone pain, nausea and thinning down of hair. Androgen drugs can have several side effects like diarrhea, stomach ache, mild acne, loss or thinning of hair, increased growth of pubic hair and infection, redness, pain and irritation at the injection site. Some side effects of birth control pills are nausea, headaches, missed periods, weight gain, intermenstrual spotting and breast tenderness. Certain vitamin supplements can have side effects like confusion, muscle weakness, stomach bleeding, increased urination, uneven heart rate and tooth staining. Although a herbal supplement, evening primrose oil can have mild side effects if not severe, like nausea, diarrhea and headache.

What is the price of the treatment in India?

It does not take very to recover from a fibrocystic breast disease. The condition hardly becomes a severe one that it could need a high end treatment like a surgery excision or fine needle aspiration or even simple over-the-counter medications. In case these treatment options are required it can take a few months to completely recover.

Are the results of the treatment permanent?

The price of treatment for fibrocystic breast disease ranges from Rs. 300 to Rs 2,000 including consultation, medications and surgery. The prices may vary depending upon the city in which you reside or get treated from.

What are the alternatives to the treatment?

The results can be permanent or the lumps can appear even after they have completely vanished.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: Very Low Time For Recovery: Very Low Price Range:

Rs. 300 to Rs. 700

Popular Health Tips

Breast Lumps - How Can They Be Treated?

MBBS, MD
Gynaecologist, Delhi
Breast Lumps - How Can They Be Treated?

A breast lump is an enlargement, swell, protuberance or a bump that is different than the breast tissue surrounding it. Breast lumps can appear in men as well as women and they can be benign or malignant. Causes of benign breast lumps are as follows:

  1. Fibroadenosis: Also known as Fibro-cystic breast disease, it is a benign condition that affects the breast. It may affect either of the breasts or both. One of the major symptoms of Fibroadenosis is a breast lump. Usually, the lumpiness disappears after the menstrual cycle is over. Fibroadenosis occurs because the breast tissue doesn’t respond well to the hormonal changes during the menstrual cycle.
  2. Fibroadenomas: Fibroadenomas occur because of abnormal response to the hormone oestrogen. The lumps are usually well formed and round, around the milk ducts of the breast. Breast lumps due to Fibroadenomas are called breast mice, because they move around the breast. In some cases, they disappear and in some, they tend enlarge during pregnancy.

Other benign causes of breast lumps are breast abscesses, breast cysts, lipoma (lump of fat), mastitis (infection in the breast tissues), fat necrosis (another name for breast lumps) and intraductal papilloma (benign tumour of the milk ducts in the breast). A breast lump that is firm, well defined and doesn’t move around, i.e. it doesn’t disappear after your period or pregnancy, may be a result of breast cancer.

Treatment of breast lumps
The treatment of a breast lump depends on its cause. Benign breast lumps usually disappear over time. Otherwise following treatments can be considered as per the doctor’s discretion-

  1. Medication: If the breast lumps are painful or increase over time, it is advisable to take medication.
  2. Limiting the amount of fat in the diet or wearing well fitting bras also reduces the amount of pain due to breast lumps.
  3. Certain types of breast lumps are filled with fluid or pus. This fluid can be drained through a procedure called aspiration or drainage.
  4. A radical way to treat a breast lump is surgery. Many a times, these lumps get bigger and painful and the most effective way to deal with it is to remove it. If you wish to discuss about any specific problem, you can consult a gynaecologist.
4320 people found this helpful

Fibroadenoma!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Fibroadenoma!

Fibroadenoma
Fibroadenoma or a benign breast lump is the state of occurrence of a tumour or lump in the breast of women. Although, many of its patients suffer from a fear before its diagnosis by assuming it as a symptom of breast cancer. But take a note that it is different from a breast cancer.

In the Inflammatory Breast Cancer (IBC), the breast skin over the lumps turns red and inflamed. But a fibroadenoma usually does not cause any such kind of inflammation over the skin, unless rubbed or pressed hard multiple times while checking it. It is also painless in most of the cases.

In summary, those are harmless to the human body. However, it is recommended to get those diagnosed and treated by the doctor as and when those are observed. It is noted that around four of every five cases of a tumour in the breast is diagnosed as fibroadenoma and are non-cancerous. A fibroadenoma is a soft to hard tissue developed by the fibrocystic or other hormonal changes in the women body.

The normal size of observable lumps caused by fibroadenoma could be of 2 to 5 cm. They are shaped like a marble and are movable within the skin. Note that these tissues tend to shrink or even disappear during the menopause since the hormone levels are lowest in the female body during that phase. When trying to hold it with fingers, you would be able to feel it rubbery.

The lumps developed by fibroadenoma may grow during the days of pregnancy due to many hormonal changes. A fibroadenoma is normally developed in females of age between 15 to 30 years. However, women of any age may observe it developed in their breast.

The occurrence of fibroadenoma is not rare. Fibroadenoma could be of the following types:
- Simple Fibroadenoma:
It refers to the development of tissues in the breast that have very slow or at times no growth, once developed. Such kind of fibroadenoma has no risk of developing breast cancer in the future.

- Complex Fibroadenoma: The lumps developed in this type of fibroadenoma are filled with some fluid along with deposition of calcium within its lumps. Once reported, those require monitoring on a regular basis for any behavioural changes. Those may have the risk of developing breast cancer at a later stage. If the growth is rapid, the doctor may recommend getting the biopsy test done with a part extracted from the tissue, for confirmation of cancer.

- Juvenile Fibroadenoma: In this type of fibroadenoma, the lumps are developed in the breast of girls aged between 10 to 18 years of age. The lumps developed by juvenile fibroadenoma may grow large. However, most of those shrink or disappear over the time, as and when the associated hormones are completely developed.

- Giant Fibroadenomas: The normal size of the lumps caused by fibroadenoma is up to 5 cm. Those developed due to giant fibroadenoma may grow even more than 5 cm. Although, they do not cause any harm to the body. But at times, those may suppress the breast tissues. Also, their existence due to a larger size may make the sufferer feel a bit uncomfortable psychologically. In such cases, the patient may get those removed from their breasts.

Symptoms of Fibroadenoma:
Following are the symptoms of fibroadenoma:

- One or more solid lumps in the breast

- The lumps could be of round shape and smooth border

- Those are moved easily when pressing softly with a finger

- These lumps are of rubbery nature

- Those do not cause any pain in the breasts or any other part of the body

- The lumps caused by fibroadenomas may be either in any one or both of the breasts

- There is no irritation or itching on the skin over the lumps unless you rub those

- Unlike IBC, the skin over the fibroadenomas lumps does not get red

Causes of Fibroadenoma:
The actual cause of fibroadenoma is not known yet. However, it is assumed that those can occur due to the development of the reproductive hormones. Fibroadenoma may also be developed due to any changes in such hormones. This is the reason why the lumps caused by this disease grow in size in the pregnancy period or may shrink after menopause in females.

It is assumed that if the diet taken during the development of hormones does not contain essential nutrients, it may cause abnormality in the hormones being developed, which could be a cause of fibroadenoma.

Prevention of Fibroadenoma:
Since fibroadenoma lumps are developed due to the hormonal changes, your body must get sufficient diet during the phases of major hormone development. The various precautionary measures that you may take to avoid fibroadenoma are discussed below:

- Try to reduce or eliminate meat from your diet. It is best to switch to a vegetarian diet. A plant-based diet is considered as best during the period of major hormonal changes in the females. If elimination of meat from the diet is not possible, switch to the organic meat, which is free from chemicals and external hormones.

- Avoid the intake of refined sugars.

-  Avoid food items rich in estrogen. Some of those include sesame seeds, flax seeds, soy-based products, peaches, strawberries, green beans, white beans, black beans, and more.

- Include lots of vegetables in your diet. Drink juices or smoothies of organic vegetables on a daily basis.

- Include wheatgrass in your diet, as it tends to not only prevent fibroadenomas but also reduces those post their development. Eat the vegetables more, which are significant in the well-functioning of the breast tissues such as spinach, kale, dandelion leaves, parsley, celery, cucumber, and more.

- Try to keep your body alkalized by consuming fresh and organic food items.

- Adopt some detox program on often basis for the elimination of toxins and chemicals from your body.

- Avoid stress and have sufficient sleep to avoid fibroadenoma. Try meditation and breathing exercises to keep your stress level in control.

- Avoid junk or deep-fried foods. Also avoid processed food items, as those may contain tumour-promoting carcinogens.

- Avoid taking birth control pills, as those are highly associated with the risk of developing fibroadenomas.

- Try to reduce caffeine from your daily diet.

How is it diagnosed?
In case you observe one or more lumps in your breasts, you must visit the doctor and explain your medical history and symptoms. The doctor may recommend the mammogram test, in which the impacted breast is placed stationary and an X-ray capturing is done.

The X-ray report of a mammogram would confirm the presence of some lump along with its shape and size. If the age of the patient is below 40 years, the doctor may also recommend an ultrasound test of the breast rather than or along with mammography to know about the lump’s consistency.

Actually, the breast of women with age below 40 years has harder tissues. The X-ray done in mammography may not capture clear pictures of the fibroadenoma lumps because of their interference with harder breast cells in the image.

The doctor may also recommend a cytology test to confirm if the lump is a cyst. In this test, a needle is inserted into the lump and a little part of it is extracted out with the help of vacuum. In case the extracted material is just fluid, it confirms that the lump is a cyst.

In case the physician suspects that the lump is caused by cancer, a core needle biopsy is recommended. In this test, a bit thicker needle is inserted in the lump and some part of the tissue is extracted and sent to the laboratory for biopsy. The report of biopsy confirms if the lump has cancerous cells.

Treatment of Fibroadenoma:
When the doctor confirms by analysing the diagnostic reports that the reported lumps are due to fibroadenoma, the patient is generally not recommended any treatment. In normal cases, it is avoided to extract the lump by surgery, as it may distort the shape of the breast.

Additionally, it may result in the reformation of the lump at a later stage. But, if it is a giant fibroadenoma with multiple lumps, those could be removed from the patient’s breast. There is one more way called as cryo-ablation to destroy the lumps. In this method, a thin tube is inserted into the lump, and some gas is passed from the tube to the tissue.

The gas freezes the tissue and makes it inactive for a long time or even for the lifetime. However, this methodology may be used for treating lumps of smaller size. The best way to minimize the size of the lumps or to make them disappear is to adopt a healthy diet and lifestyle. It is also recommended to keep noticing the size of lumps and visit the doctor on a timely basis. The complex fibroadenoma may have the risk of developing breast cancer at a later stage.

Complications of Fibroadenoma:
Usually, fibroadenomas do not cause any problem in the human body. However, their existence may cause psychological stress in the mind of its patient. In any case, it is must for you to visit a doctor and get all the medical investigations done to know about the nature of fibroadenoma. You must be very cautious in case the lumps are because of complex fibroadenoma, as those may cause cancer, if not taken care on time.

 

Myths of Fibroadenoma:
Myth #1:
Fibroadenoma may only occur in the breast of females

Fibroadenoma is mainly associated with the fibro-glandular tissue, which is found in the breasts of females and is not available in the normal male individuals. In some extremely rare cases, fibroadenoma is also reported in males. Those cases involve male-to-female transsexuals and the cases where estrogen therapy is provided in aged individuals suffering from prostate carcinoma.

Myth #2: A lump in the breast is always the breast cancer

Fibroadenoma causes the development of lumps in the breast that are harmless. The lumps related to cancer may be painful and may show the signs of rashes or bruises on the skin surface of the lump.

Myth #3: When the result of the mammography test is clear, when you have a breast lump, you need not even visit the doctor again.

At times it happens then the mammography test does not confirm the occurrence of fibroadenoma. This is because the X-ray performed in mammography, at times in case of some young women, may not detect the existence of the fibroadenoma lumps. In that case, you will need to revisit your doctor, who may further recommend you several tests in order to understand the exact nature of the lumps and avoid any probable complications in future.

Myth #4: The lumps caused by the breast cancer are always painful and any painless lump would be a harmless fibroadenoma.

This is not necessary. The lumps developed by breast cancer are not always painful. At times, the patient could not distinguish between fibroadenoma and breast cancer just by visibly observing the symptoms.

Myth #5: Fibroadenoma may only be developed in the females of younger age.

Fibroadenoma may cause lumps in the breasts of the females of any age group.

Myth #6: Smaller lumps in the breast are caused by breast cancer, whereas bigger lumps are developed because of fibroadenoma.

A lump caused by fibroadenoma will also be developed initially with a smaller size and may grow up to a larger size.

Myth #7: A painless lump in your breast could only be because of fibroadenoma if you have no history of breast cancer in your family.

Note that a breast cancer is not a hereditary problem and could occur to any female. You must be very cautious with the sign of any lump in your breast.

Conclusion
Fibroadenoma is a mild condition in which you may observe single to multiple lumps in one or both of your breasts. It may be primarily caused by hormonal changes in the female. In any of its symptoms, you must visit a physician and get all the prescribed investigations done. If confirmed, you may not be prescribed any medication course to get it treated. In some extreme cases, you may consult with your doctor and get it extracted from your breasts.

 

1 person found this helpful

Breast Cysts - How To Handle It?

MBBS, MS-Obstetrics & Gynaecology, Diploma in Reproductive Medicine (Germany)
Gynaecologist, Pune
Breast Cysts - How To Handle It?

One ailment that affects a large number of women all over the world is that of breast cysts. Breast cysts are essentially benign abscesses that grow on and around the mammary glands. These cysts primarily develop on account of hormonal changes and are often assumed to develop naturally along with the development of breasts. These cysts are generally filled with fluids which can be traced around the milk ducts.  

Cysts are usually reported among women approaching menopause. While some cysts are of temporary kind, there may be others with a more prolonged run. Early diagnosis and prompt medication ensure that their growth gets arrested at the earliest. Although it is necessary to be vigilant about these eruptions, one need not fear any further exacerbation. Most cysts are harmless in nature and do not proceed to breast cancer. The symptoms as well as the causes of the latter are completely disparate.
However some classes of cysts are more threatening than the others. These mostly comprise suspended solid elements besides the regular fluid content. Some might even have thicker walls compared to the others. Accordingly, they are called complicated and complex cysts. In these cases, one must exercise caution and get them treated immediately. Some of the most popular remedies include drainage through needle aspiration. On certain occasions, physicians also recommend biopsy. Wherein a different mode of treatment ensues. Other ways of tackling breast cysts are ultrasound guidance using local anesthesia. In most cases however, depending upon the traits of the cysts, physicians leave them unaltered. One might choose to remove them for cosmetic as well as comfort purposes. Women come to such decision because breast cysts prove to be painful during menstrual cycles and some might even resent its appearance. 


One unavoidable repercussion of needle aspiration is that the cysts tend to come back periodically. Dealing with it then becomes a fairly tedious task. This has known to cause anxiety and depression in a lot of women. Counselling and support group can prove beneficial here. But, the most crucial factor in learning to deal with breast cysts would be generating more awareness with regard to the causes and effects of breast cysts.

3514 people found this helpful

Breast Cysts - How To Deal With Them?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Breast Cysts - How To Deal With Them?

One ailment that affects a large number of women all over the world is that of breast cysts. These cysts primarily develop on account of hormonal changes and are often assumed to develop naturally along with the development of breasts. These cysts are generally filled with fluids which can be traced around the milk ducts.  

Cysts are usually reported among women approaching menopause. While some cysts are of temporary kind, there may be others with a more prolonged run. Early diagnosis and prompt medication ensure that their growth gets arrested at the earliest. Although it is necessary to be vigilant about these eruptions, one need not fear any further exacerbation. Most cysts are harmless in nature and do not proceed to breast cancer. The symptoms as well as the causes of the latter are completely disparate.

However some classes of cysts are more threatening than the others. These mostly comprise suspended solid elements besides the regular fluid content. Some might even have thicker walls compared to the others. Accordingly, they are called complicated and complex cysts. In these cases, one must exercise caution and get them treated immediately. Some of the most popular remedies include drainage through needle aspiration. On certain occasions, physicians also recommend biopsy. Wherein a different mode of treatment ensues. Other ways of tackling breast cysts are ultrasound guidance using local anesthesia. In most cases however, depending upon the traits of the cysts, physicians leave them unaltered. One might choose to remove them for cosmetic as well as comfort purposes. Women come to such decision because breast cysts prove to be painful during menstrual cycles and some might even resent its appearance. 

One unavoidable repercussion of needle aspiration is that the cysts tend to come back periodically. Dealing with it then becomes a fairly tedious task. This has known to cause anxiety and depression in a lot of women. Counselling and support group can prove beneficial here. But, the most crucial factor in learning to deal with breast cysts would be generating more awareness with regard to the causes and effects of breast cysts.

Breast Cysts - How To Deal With It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Ghaziabad
Breast Cysts - How To Deal With It?

One ailment that affects a large number of women all over the world is that of breast cysts. Breast cysts are essentially benign abscesses that grow on and around the mammary glands. These cysts primarily develop on account of hormonal changes and are often assumed to develop naturally along with the development of breasts. These cysts are generally filled with fluids which can be traced around the milk ducts.  

  • Cysts are usually reported among women approaching menopause. While some cysts are of temporary kind, there may be others with a more prolonged run. Early diagnosis and prompt medication ensure that their growth gets arrested at the earliest. Although it is necessary to be vigilant about these eruptions, one need not fear any further exacerbation. Most cysts are harmless in nature and do not proceed to breast cancer. The symptoms as well as the causes of the latter are completely disparate.
  • However some classes of cysts are more threatening than the others. These mostly comprise suspended solid elements besides the regular fluid content. Some might even have thicker walls compared to the others. Accordingly, they are called complicated and complex cysts. In these cases, one must exercise caution and get them treated immediately. Some of the most popular remedies include drainage through needle aspiration. On certain occasions, physicians also recommend biopsy. Wherein a different mode of treatment ensues. Other ways of tackling breast cysts are ultrasound guidance using local anesthesia. In most cases however, depending upon the traits of the cysts, physicians leave them unaltered. One might choose to remove them for cosmetic as well as comfort purposes. Women come to such decision because breast cysts prove to be painful during menstrual cycles and some might even resent its appearance. 
  • One unavoidable repercussion of needle aspiration is that the cysts tend to come back periodically. Dealing with it then becomes a fairly tedious task. This has known to cause anxiety and depression in a lot of women. Counselling and support group can prove beneficial here. But, the most crucial factor in learning to deal with breast cysts would be generating more awareness with regard to the causes and effects of breast cysts.
1 person found this helpful

Popular Questions & Answers

Hi Sir/Mam, I'm unmarried 30 years old, having cyst in both the breasts .Doctor advised me for biopsy. My parents are very concerned as they find one match for me and next year I'm going to marry but if there is any scar (might be boy parent's will not tie this rehta) also my age is above 30 due to which very difficult to find good match. I visit gynecologist, she advised me for sonography and to take the tablet named novex (I'd taken 11 tab) after which my nipples of both breast are outward. I've undergone ultrasound from two different hospitals where one report is showing normal but the other one is abnormal, due to which doctor advised for FNAC after which now they advised me for biopsy. Request you to kindly advise as my parents and me are very very much concerned and in tension Under mammogram -birads III Sonography from 1st hospital -No significant abnormality seen. Tiny cysts in both breast. From 2nd hospital -hypoechoic lobulated lesion superomedial quadrant right breast suspicious abnormality. Rest of the breast parenchyma appears normal. Left breast appear normal Fnac-smears are hemorrhagic and are moderately cellular comprising of ductal epithelial cells in sheets and clusters. Few of the cells show mild nuclear polymorphism. Please advise as I don't want scar on my body, I'm ready for check or test but no scar Sir. If possible please advise it would be great help.

MBBS, DNB, Fellowship in Infertility
Gynaecologist, Bangalore
That is not possible dear without doing anything how can we know what is going on. For confirmation that no cancer chances are there we have to see in microscope for which biopsy is required. Incision happens below breast so dont worry. And you have to be loyal to the one you are marrying so please tell him whatever procedure is done. Life is more important than scar so dont just stay there. Please do whatever your doctor is advising.
1 person found this helpful

For fibrocystic breast how many days medicine should be used, do it cause any trouble? Which medicine is more effective code soft epo r primosa. R any other medicine I should use? Do it leads to cancer? I'm getting white colour discharge my breast. I'm using now code soft epo capsules twice a day. From one-month onwards I'm using this? Still how many days needed cyst was not decrease in size. Some times my breast size is increasing. Becoming heavy, sometimes a little bit burning sensation. After completion of period also sometimes it is giving discomfort lumpy. I have gone ultrasound. Two times, prolactin test, tcs also. Tcs is normal, prolactin is a little bit means slightly high. But Dr, said no need to worry. But this fibrocysticbreast disease irritating (giving discomfort) I have a worry about cancer.

MD - Radiotherapy
Oncologist, Vadodara
No, fibrocystic breast changes don't increase your risk of breast cancer. Fibrocystic breast changes are common. Women with this noncancerous (benign) condition often have lumpy, nodular breasts and experience breast pain that varies throughout the menstrual cycle. Doctors don't know exactly what causes fibrocystic breast changes, but the condition is likely due to hormone changes during your menstrual cycle that affect breast tissue. Although fibrocystic breast changes don't increase your risk of breast cancer, having fibrocystic breasts may make it more difficult for you to feel a new breast lump or other abnormal change such as a persistent breast lump that doesn't go away with your next menstrual cycle or thickening or firmness within lumpy breast tissue.
1 person found this helpful

I have been diagnosed with breast cyst. Biopsy done. Results shows with simple and complex cyst with ductal ectasia. Tumor in the size of 0.3 to 0.7 cm 4 months back. Doctor told it is fibrocystic disease. He didn’t give any medication. He told to come after 6 months. But I am feeling pain in the armpit. Already I have auxiliary Breast. Now auxiliary Breast size increased. Kindly give me suggestions.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
The accessory Breast can be removed surgically if size is causing problems. Most likely you are suffering from mastalgia which is usually accompanied by fibrocystic disease. It is pain due to hormonal stimulation of the breast tissue. It may resolve spontaneously with pregnancy. Reassurance and supportive sports bra (especially in large breasts) have shown to be effective in most women. Usually Vitamin E 400 mg 2-3 capsule daily or/ and Evening Primrose Oil 2000-3000 mg daily Containing 240-360 mg GLA which comes to is the initial amount prescribed for 2-3 months. If response is good then the dose may be decreased for 3 more months and then stopped. The symptoms may never recur. But relapses are also known. If there is no response to above, then we usually shift to Danazole, Bromocriptine or SERM (tamoxifen or ormeloxifen) Bromocriptine is costly and causes nausea, vomiting and headache. Danazole has troublesome androgenic side effects. Tamoxifen is known to cause DVT or cataract but usually for long term or higher dose of 20 mg, which is given in breast cancer. We recommend 10 mg daily for 3 months. Ormeloxifen is the indian drug previously called centchroman or Saheli. It is usually given as 30 mg daily or alternate day schedule. Some patients may develop ovarian cysts on daily schedule. It works well with non cyclical as well as cyclical mastalgia. Some prefer it as the first line of treatment. If you need further clarification, feel free to contact me directly.
4 people found this helpful

My age 25 married. I had fibroadenoma from past 3 years known through mammography done by a doctor she suggested to remove them by surgery. Now if I get pregnant it would be safe or any problems will occur and also suggest me treatment to cure these fibres permanently.

MBBS, MS - General Surgery, Diplomate of National board in Surgical Oncology
General Surgeon, Kolkata
Hi lybrate-user fibroadenoma is physiological response of breasts to female hormone. It often disappears after pregnancy. So relax they are not precursor to breast cancer. So donot panic un necessarily. A lot of people get operated under this misconception. With no benefit. Treatment with medicines are enough to resolve them. They donot interfere with pregnancy nor do they harm yur future baby.

I am 21 years old 3 years ago gynecologist diagnosed me fibroadenosis of breast Few day ago I felt some nodule in both breast when palpate it causes pain Surgeon given me primosa capsule and natvie capsule Is there any worried things in fibroadenosis of breast? What is role of above 2 capsule. Is this condition required treatment ?if required which drug & how much duration Is it normal?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
If you have felt a nodule in the breast, it is better to show it to a Breast Surgeons a Surgical oncologist. They would take a detailed history and examine you and if need be, ask for an ultrasound examination. Fibrocystic changes are very common and are common cause of breast pain especially cyclical. Some times some of the cysts may enlarge causing a lot of pain, which need to be aspirated. Also they need to rule out other causes of pain like ill fitting bra, trauma, abscess amongst a few. Spontaneous resolution is seen in around 20-50 % patients and may sometimes be related to pregnancy or menopause. Evening Primrose oil (EPO) capsules contains Gamolenic acid (GLA, which is an essential fatty acid needed to regulate the tissue response to hormones. The dosage required is 240-360 mg of GLA daily (2000-3000 mg EPO. The capsule contains 40 or 80 mg GLA. Thus the no of capsules can range from 4-8 per day taken orally. Few patients (<5%) report nausea, loose motions or headaches. It is to be avoided if you are pregnant, planning to conceive or have a history of epilepsy. You need to continue the primrose oil for at least 2-3 months to see any improvement in symptoms. If symptoms improve then you can halve the dose of primrose oil and continue for further 3 months. Some people are able to stop the capsules altogether without return of problem. Vitamin E 800 to 1200 I.U. (2-3 capsules) Daily also has been shown to work in cyclical mastalgia. The other treatment options are NSAIDS like Combiflam or enzoflam which provide symptomatic relief till the pain settles spontaneously and Antiandrogens like Danazole and anti estrogens i.e. Serm like Tamoxifen. The last 2 are quite effective but come with a lot of side effects. If you still have any queries, you may contact me directly.
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Breast Cancer
Breast cancer is a cancer that develops from breast tissue. The signs of the disease may include a lump in the breast, change in shape of the breast, fluid coming from the nipple, dimpling of the skin and a few more. In case you trace any of the symptoms in your body, you should immediately visit a doctor and start with the treatment.
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Lifestyle Diseases
I am Dr. Dinesh Kumar and I am a General Physician. Lifestyle diseases are defined as disease link with a way, people live their life. This is commonly caused by alcohol, drugs, smoking as well as lack of physical activities and unhealthy eating. Diseases that impact our lifestyle are heart diseases, stroke, obesity, diabetes, arthritis, metabolic syndrome, chronic renal disease, renal failure and depression and also there can be some psychosexual disorder. So, what is the prevalence and risk factors? In India, 25% of people, over 25 years of age, they suffer from hypertension and this hypertension causes severe morbidity and mortality. It is a high-risk condition causes approximately 50% of death from stroke and 50% of coronary artery disease which is heart disease. The dominant diseases and in this aspect are considered to be CAD, cancer, chronic obstructive pulmonary disease (COPD) or asthma and obesity.

There may be some risk factors associated with this and these can be modifiable risk factors or non-modifiable risk factors. People have started to consume more meat, dairy products, vegetable oils, tobacco, sugary foods, coca-cola, and alcoholic beverages. They have developed a sedentary lifestyle and greater risk of obesity. So, rates of colorectal cancer, breast cancer, prostate cancer, and lung cancer. They have started increasing. After these dietary changes or the modification in the lifestyle. Adults can develop lifestyle diseases through behavioural factors that impact on that. These can be unemployment and unsafe life, poor social environment. Certain diseases, such as diabetes, dental cavities, and asthma, they appear at greater risk in the younger population.

It is important to note that the combination of these modifiable and non-modifiable factors are responsible for this non-communicable disease. The non-modifiable risk factors basically comprise those characteristics that are inherent that is age, sex, and genes and cannot be altered due to individual and environmental effects. On the other way, we have the modifiable risk factors which can be transformed by the society or individuals. Thereby ensuring amended health outcomes poor diet, physical inactivity, tobacco use has been typically highlighted as the prime cause of lifestyle diseases by WHO. typically we have 4 common modifiable risk factors that can be controlled.

These are an unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. The composition of human diet has changed considerably over time. With the high demand for readily available pre-cooked food are found to be high in sugar and salt and they lack inadequate nutrition. This spread of fast food culture has resulted in the increased spread of obesity. Tobacco accounts for 30% of cancer globally but these lifestyle diseases are affecting and how these are affecting the society. The population growth has slowed down but still remains very high. It is also observed at the growth of population in the bracket of 60 years and above is increasing along with the effects of morbidity and mortality. The burden of these diseases has significantly affected as well. There has been a rise in unemployment as well and healthcare expenditures. Prevention and management is the final part here.

In order to improve the situation, we will have to increase spending on prevention, screening and early detection of such cases. Reducing the fat, compulsion of diet, engaging in regular physical exercises. The cost of treatment for an oral cancer patient has estimated about 4 lakhs. Most oral cancers are preventable by avoiding the use of tobacco. Such an approach will be a relief to most Indian families that meets 70% of there health expenses out of there own pockets. Lifestyle diseases can be tackled to a large extent by simple modifications in our lifestyle, dietary changes. For example: reduce salt intake, increase consumption of fruits, salads, and vegetables. Improve physical activities and avoid the use of alcohol. Perhaps, by increase alcohol and tobacco usage and through information, communication through medical websites like Lybrate. If you want to meet me, you can meet in my Noida clinic which is in Supertech. You can also consult me online through Lybrate.

Thanks!
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Gynecomastia (Enlarged Male Breast)
I am Dr. Rajesh, associate professor in the Department of plastic surgery in Deccan Medical College, also consulting plastic surgery various hospitals in Hydrabad. Today we are going to discuss about one of the most common complaints which I come across in my daily routine practice, that is gynecomastia.

Gynecomastia is a condition of non cancerous growth of the male breast. These conditions generally observed in infants and adults age and old age. The condition is observed in about 1 million population of India. In infants. this condition arises mainly due to the abnormality in the hormones. That is, the male hormones which are supposed to be increased and the female hormones which are supposed be decreased by their abnormal ratio. There is a change in the ratio of the hormones, then this condition is used to observe the mothers womb from the glass filter, that is, some of the hormones are injected to the child. So that's why we usually see there is a minor swelling of the childr's breasts this is called physiological.

Physiological normally occurs in most of the children and it's a common condition. Since something which is not common is non physiological, which is an abnormality. The next physiological condition where you see is in adult age and children are developing the male secondary sexual character. That time the male hormones which are supposed to be increase, when they are not increased and the female hormones which are supposed to get reduced . At that time, there is a change in the ratio game again you will see gynecomastia usually around 10 or 11 or 12 years of age. This will subside usually and 1 or 2 years of age and the next condition is again in the later age that is in the old age. There the testosterone hormones in the body comes down in the male then again you may see these are all these are physiological other.

Causes in the adults are mostly with the drugs are chronic. Diseases associated will be liver or kidney. Like liver in a sense of chronic sclerosis of the liver also where in the hormone which is supposed to get deleted is also one of the reason we're in developer gynecomastia and in a chronic renal problems with is undergo adolescence is also this. We can see all this kind of problem and there are very rare conditions like in a Klinefelter syndrome. There are some syndromes and some cancers are also associated with this condition but there are extremely very rare conditions. Where you see a gynecomastia syndrome for them, the evaluation is different to manage. There is long prove of medical management for this, like the drugs will not treat the cause. There are some drugs which are not even FDA approved but there are some drugs where we can give especially the adult causes but not for the physiological causes.

Physiological causes as I mentioned earlier after certain time or age they should subside and the body becomes normal like any other person but if it still doesn't subside then the option would be surgical. We do a lipo a small hole is made at the little side of the breast through that we suck out the fat if there is any fat. We suck out the fat and only the glandular tissue is delineated and then through a small incision in the area like nothing. But that pigmented skin around the nipple makes a small incision trhough which we take out the gland. That is most commonly followed treatment throughout the world and it has very great results.

for more information, you can contact me directly in my clinic that is Dr. Chandra Semalty Speciality clinic.
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Myth Behind Male Breast Reduction
Good morning, I am Dr Vijay Kakkar, a senior consultant cosmetic and plastic surgeon. I am working in Kakkar health care group which is a clinic of long standing and have been doing all kind of cosmetic surgeries. We will be discussing Gynecomastia or a male surgery today.

As we know Gynecomastia is a problem in the young adult in which the male breast starts increasing. The problems start in the teenagers. Once there is little bit of problem in hormones. In the case of Gynecomastia, there must a slight elevation of the female hormones during the developing period. If the female hormone is more in the developing period of say,13-17 years of age. This gets hypertrophic and increase in size. There may not be any investigating factors.

In certain cases, it may be associated with some other diseases also. In such cases we have to find the cause of Gynecomastia. Where as in most of the cases we do not find any cause for increase the size in male breast. Once the patient of male breast comes to us, we examine him and analyse what kind of grades of gynecosmastia the person is having.

IN most of the boys or young adults are going to gym due top which muscle size increase, in such cases the gynecosmastia becomes more prominent. It is a myth that going to gym decreases the gynecosmatia, rather it increases. Once these people go in the society, they can not remove the t shirt and there are lot of problems and pressure that they can not go for swimming or they can not go to common public places wearing white t shirts. In such cases, the young adults suffer from psychological pressure. So we need to correct these problems.

It is a very simple surgery and a day care kind of surgery. We call the patient in the morning. We give an anaesthesia which is either local or general anaesthesia. Most of the fat can be removed with the process of Liposuction. It is a very minor surgery. We make a 2-3 mm size of cut and put a kind of cannula and lot of saline into the breast and suck all the fat. After sucking all the fat, we analyze if there is any breast gland left behind. If there is any breast gland left behind then we excise that breast gland with the help of a small cut which ios given in the infra cellular plane and that scar is also not visible.

After the surgery, the patient is given garment to wear for the month approximately. The swelling will go down within a week to 10 days time. The patient will be fine within a 6 days of time and patient will be back to normal. It is a permanent procesdure where no scar no cuts are left.

If you have any query about Gynecomastia, you can contact us or you can e mail at kakkarclinic@hotmail.com or contact us at 9811079483.

Thank you.
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Polycystic Ovarian Disease
Hello Everyone,

I am Dr. Prabhjot Manchanda, Consultant Obstetrician and Gynecologists, Jagruti Clinic Ghatkopar East, Mumbai and Cofounder of Blessed Beginnings.

In this era of sedentary lifestyle, we tend to put on weight which is difficult to shed. It was lead to irregular and scanty menses and we don t really care about it do we? The typical chalta hai attitude, but this not something chalta hai ladies! Unwanted hair, weight gain, rregular scanty menses can alarming, alarming signs of PCOD. What is PCOD? PCOD is Polycystic Ovarian Disease. It is a common health problem of women of child bearing age. It effect 1 of 10 women of child bearing age. It is a state of hormonal imbalance, in which the male hormones in female body are more. Although females do produce a little bit of male hormones but in this particular case females produce male hormones more than they actually should produce and because of this increase in male hormones the ovaries, they function improperly. Ovaries are the organs that produce eggs as a part of a healthy normal cycle but in this particular condition her the ovaries fail to produce them or fails to release them. Thereby causing irregular scanty menses, and causing infertility and ovarian cysts. Who gets PCOD? 5 to 10 %of child bearing age can get PCOD and they really don t even know about it. They come to know about it they have infertility and visit a doctor for that. Normally females are prone to get PCOD but obese females are having higher list of getting PCOD. What are the symptoms of PCOD? The symptoms of PCOD may include irregular scanty menses, unwanted hair o the parts where men should have, then weight gain that is difficult to shed, male pattern baldness, acne, hair loss, thinning of hair and darkness of skin particularly in the neck creases, axilla, underneath the breast and other areas and the skin becomes thick also. Of most of the symptoms are present then there is no need of getting test also. It is declared PCOD. What is the cause of PCOD? Cause of PCOD is still not known. It is said that genetics may play a role. So if a woman is having a female relative, like mother sister or any other female relative with PCOD, are at a higher risk. So they should be careful about it. Some people ask, can they still get pregnant if they have PCOD. The answer to this is yes, of course you can get pregnant if you have PCOD. A little weight loss with a help of diet, exercise and insulin sensitizers, they can actually help you getting pregnant. Do have risk of other problem if have PCOD? Yes you do. You can have high B.P, high cholesterol, and diabetes mellitus even uttering cancers, if you have PCOD. So, keep check on your weight and keep yourself updated about PCOD. How do you diagnose PCOD? There is no single test to diagnose PCOD. A spectrum of diagnosis spectrum of tests are required. First of all a god clinical history elaborating irregular scanty menses, sometimes missed periods and examination including blood pressure, BMI, waist size examining ski for darkening and thickening of skin and also male pattern Baldness. They can actually help I diagnosis of PCOD. Also ultrasound stating a polycystic ovaries is required. And various blood tests to know about the levels of androgens i.e. the male hormones know about the level of cholesterol sugars and thyroid levels are required to diagnose PCOD. How do you treat PCOD? The first and foremost treatment for PCOD is weight loss, diet, exercises and insulin sensitizer medicines are helpful in reducing the weight. But after all the treatment is symptomatic. If you are bothered irregular menses or missed periods the treatment will be directed towards making your periods regularized and if you re having infertility then the treatment will be infertility treatment. It will help you in getting pregnant. Hoe does PCOD effect your pregnancy? PCOD can affect your pregnancy in many ways. It can lead to abortion, miscarriages, gestational diabetes mellitus, and preeclampsia and also increased rate of C-sections.it can increase the weight if the baby inside the womb and making it macrocosmic and your chances of getting caesarean section. When you deliver the baby can get diabetes and also obesity so ladies keep a check on your weight and keep yourself updated about PCOD.
Having issues? Consult a doctor for medical advice