FibrocysticBreastDisease.docx

FibrocysticBreastDisease.docx - Fibrocystic Breasts Katie...

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Fibrocystic Breasts Katie Anderson Definition: Fibrocystic change of the breast is a nonspecific term that may include “lumpy” breasts. There may be pain (mastalgia) and tenderness that changes with the menstrual cycle. There is a broad spectrum of causes for fibrocystic breasts that have differing risks for future development of breast cancer. The condition in itself is not an indication of breast cancer necessarily. Clinical Considerations: Diagnosis is often made by excluding more significant/serious diseases Assessment of breast cancer sequelae is important; can provide opportunity for patient reassurance or strategize risk reduction approach Cyclic mastalgia is addressed symptomatically with lifestyle modifications, analgesics and hormonal therapy Benign conditions may continue through reproductive years and resolve at menopause HISTORY Risk factors to address: Obesity, nulliparity, estrogen replacement therapy, late-onset menopause, and later age at first childbirth Age – symptoms typically arise in the 3 rd and 4 th decades of life Nipple discharge? Approximately 80% of women will experience at least one episode of nipple discharge during their reproductive years. Approximately 5% to 10% of women presenting for routine evaluation will report spontaneous nipple discharge. Nonsuspicious nipple discharge is scant, milky, green, gray, or black, is either unilateral or bilateral, and may be expressed from several ducts. Suspicious
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FibrocysticBreastDisease.docx - Fibrocystic Breasts Katie...

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