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Fibrocystic disease of the breast
Or ANDI ( abberations of normal…
Fibrocystic disease of the breast
Or ANDI ( abberations of normal development and involution)
Or fibroadenosis
Investigations
US and mammography
Confirm benign nature and may show distorted breast parenchyma, mass or cyst
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US findings: smooth wall, clear fluid, unechoic, complete collapse after aspiration, no residual mass
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Etiology
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Celebration of the normal changes in healthy breasts with menstrual cycles pregnancy lactation and menopausal involution
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Clinical features
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Accidentally felt lump
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Prominent cyst, aggregation of small cysts or sclerosing adenosis
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Cyclic mastalgia
Heaviness or dull aching pain increase premenstrual, with pendulous breast and with breast movement
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Treatment
Cysts
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Bloody aspirate, recurrent cyst or cyst with solid components require cytological examination to rule out malignancy
Mastalgia
Pretty assurance that nostalgia doesn't impose a risk of breast cancer is the most important modality
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Decreasing stress, decreasing consumption of caffeine (coffee tea and chocolate) and limit salt and fat intake
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