Fibrocystic change

Essentials of diagnosis
-painful, often multiple usually bilateral mobile masses in the breast.
-rapid fluctuation in the size of the masses is common
-frequently, pain occurs or increases as does size during the premenstrual phase of the cycle.
-most common age is 30-50 years, occurrence is rare in postmenopausal women.
The term Fibrocystic disease or mammary dysplasia, is imprecise and encompasses a wide spectrum of pathologic entities.
Pain or tenderness is often the presenting symptom and calls attention to the mass. Increasing during the premenstrual phase of the cycle, at which time the cysts tend to enlarge. Multiple or bilateral masses are also common.
Treatment
Simple mastectomy or extensive removal of breast tissue is rarely if ever indicated for Fibrocystic change.
Breast pain associated with generalized fibrocystic change is best treated by avoiding trauma and by wearing a bra with adequate support.