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

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?

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.

Popular Questions & Answers

I had a breast fibroid 6 years ago which was operated in 2014 and it was benign. After that I had a child. Since November 2018 I was having pain in same breast. I did sonography, mammography all reports are normal but today some sort of white liquid came out of both breasts. What should I do? I am 27 years old.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
When did you stop breast feeding. If gap of more than 6 months then needs examination and blood test so meet gynecologist.
1 person found this helpful

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 ha...
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 resol...
5 people found this helpful

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