OTHER BENIGN
LESIONS
3.4 Mammary dysplasia : (Fibrocystic disease,Chronic mastitis,
Fibroadenosis)
Patients usually present
with complaints of pain,
tenderness and small lump in any part of the breast
usually the upper
and outer quadrant there may be
more than one lump
The lesion may be bilateral, the disorder is
suspected to be due to hormonal imbalance probably excess
estrogen and low progestogens (anovular cycle).
Clinical features include :
* Middle aged females
* Pain and lump in both breasts
* Pain worst in premenstrual
period
* 15% have nipple discharge
* On Examination:
a) Tenderness is present
b) More than one ill-defined lump
c) Felt best with tip of fingers
rather than flat of the
hand
d) Cysts may feel firm and
palpable with flat of the hand
e) There are no lymph glands in
the axilla
A mammogram is required.
A fine needle aspiration cytology, or a
biopsy may be required to
eliminate the possibility of carcinoma.
TREATMENT
Is
for symptom of pain.
Hormone progesterone or danazol may be
prescribed.
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