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The symptoms of fibrocystic disease of breast vary from one woman to another. While some women feel pain and tenderness of the breast tissue only before their periods, there are other women who complain of painful breasts throughout their menstrual cycle. There is a dull, heavy pain the breast region which may be accompanied by itching of the nipple.

In certain women, the lump is so small in size that it can hardly be palpated. On the other hand, there are women who have breast lumps pretty big in size that can be palpated in both the breasts.
The fibrocystic changes are usually not confined to one particular breast. There may be discrepancy in the size and number of cysts in both the breasts initially, but soon enough, the other breast also undergoes these changes so that both the breasts are equally lumpy.
Diagnosis of fibrocystic disease of breast
It is important to diagnose fibrocystic changes because of several reasons. First and foremost is to allay the fears of the woman with this condition. Just the term ‘lump’ is enough to conjure terrifying thoughts of malignancy. Then there are times when the lump is pretty big in size and it is difficult to get to know about any underlying malignancy. As both the conditions involve the breast tissue and mimic each other closely, physicians do not like to take any chance with the diagnosis. So apart from the usual palpation, they like to order specific diagnostic tests like biopsy of the mass and screening mammography.
On palpation, the lumps in the breast tissue are generally palpated in the upper outer quadrant. The lumps can be freely moved upon the underlying tissue and are usually round and smooth to touch.
The borders of the fibrocystic lumps are smooth (unlike a malignant lump).
There are times when the lumps in the breast are so dense that even mammography cannot be interpreted clearly. In such cases, the doctors rely on either breast specialized ultrasound examinations, or opt for needle biopsy of the lump tissue. These tests are helpful in clearly differentiating between fibrocystic disease of the breast and malignancy of the breast tissue.
Treatment of fibrocystic disease of breast
Fibrocystic disease of breast is a benign condition that does not warrants any treatment. At the most, women suffering from lumpy breasts can wear a bra which provides good support to the breast tissue. In case the heaviness and tenderness become difficult to bear, women can go for over the counter analgesics like ibuprofen, to get some pain relief. There are times when the tenderness in the breasts just before the periods becomes extremely difficult for the women to bear. In these cases, such women should consult their gynecologists who would prescribe them low dose birth control pills. Taking these pills makes the cycles un-ovulatory and help in banishing the premenstrual cramps. They also help to reduce the swelling and tenderness of breasts associated with the periods.
Proponents of natural medicines suggest a decrease in the intake of coffee, chocolate and fats can help in preventing the disease.
Certain therapists like to prescribe medicines containing evening primrose oil, vitamin E, thiamine and magnesium to reduce the symptoms of fibrocystic disease.
However, the efficacy of these products has never been studied. It is always a good idea to consult your physician before embarking on any such treatment.
Consult your physician about the need of repeating any of the investigations at a later death. In certain cases, like when there is a family history of breast cancer, it is a good idea to repeat screening mammography at regular intervals.
- “Lumpy Breasts - Fibrocystic Breast Condition”, published in Women’s Health, accessed on January 30, 2013.
- “Fibrocystic Breast Condition”, reviewed by William C. Shiel Jr., on February 1, 2012, accessed on January 30, 2013.
- “Fibrocystic breast disease: published on the November 16, 2011 issue of the Health section of the New York Times, accessed on January 30, 2013.
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