Mammary dysplasia; Diffuse cystic mastopathy; Benign breast disease; Glandular breast changes; Cystic changes; Chronic cystic mastitis; Breast lump - fibrocystic
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.
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.
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.
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.
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.
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.
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.
The results can be permanent or the lumps can appear even after they have completely vanished.
Rs. 300 to Rs. 700
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:
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-
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.
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 was 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. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Fibroadenomas are benign non carcinogenic tumors that occur in the breasts of women. Although the condition may affect females of any age; spanning from pubescent girls to middle aged ladies, yet it is most commonly diagnosed in young women below 30 years of age. Fibroadenomas can be described as a stiff, smooth, supple marble under the skin of your breasts, which move when touched. These tumors which occur in varied sizes, may shrink or expand with time. Diagnosing through biopsies and treatment by surgeries are commonly employed for such a condition.
Types of Fibroadenomas
Fibroadenomas are of two types: simple fibroadenomas and complex fibroadenomas. The simple tumors are usually harmless and almost look the same under the lens of a microscope. On the other hand, the complex tumors are comprised of macro cysts (large fluid-filled sacs) and calcifications (deposits of calcium) which can slightly increase the chance of breast cancer.
What is the primary cause of Fibroadenomas?
Doctors aren't able to pinpoint the chief cause of fibroadenomas, but they have reasons to believe that the condition may pertain to the reproductive hormones. The condition may occur during pregnancy or during the use of hormone therapy, owing to which, the tumors may increase in size. The tumors are usually seen to shrink postmenopause, when the hormone levels start to dwindle.
Fibroadenomas are apparent and you may be able to detect them even without a doctor. The marble like tumor within your breasts are usually:
These tumors can range from being too small to as big as 3 inches or more in diameter. These lumps, which are usually harmless may be a cause of concern if they start to grow or change. Consulting a doctor is duly advised in such cases.
Risks: Fibroadenomas, only in the rarest cases, increase the likelihood of breast cancer. A complex fibroadenoma comprising of cysts or thick tissues called calcifications may aggravate your condition. Causes of concern could be if the tumor pains, a family history of cancer or an event of a questionable biopsy report. If you wish to discuss about any specific problem, you can consult a gynaecologist.