FIBROCYSTIC

BREAST DISEASE
FATIMA JAINA H. SALA
CMZ-WARD A
WESTERN MINDANAO STATE UNIVERSITY
Breast Lump
 It is the growth of the tissues within the
breast
 The breast contains mainly fat tissue,
connective tissue and glands .
 Fibrocystic changes are the most common
breast condition.
 Breast Lump

Cystic Mass

Traumatic fat necrosis

Ch. abscess
"Acinar "duct Intra acinar br. Hematoma
Fibroadenoma
Cancer breast

abscess -
Galactocele- deromoid cyst -
retention cyst of- lymph cyst -
parasitic -
duct papilloma neoplastic -
 Benign Breast Masses
 Cysts
 Fibroadenoma

 Hamartoma/Adenoma
 Abscess

 Papillomas
 Sclerosing adenosis

 Radial scar
 Fat necrosis Papilloma
 Maligant Breast Masses

 Ductal carcinoma
 DCIS
 Invasive

 Lobular carcinoma
 LCIS
 Invasive

 Inflammatory carcinoma
 Paget’s disease

 Phyllodes tumor
 Angiosarcoma
 ASK ABOUT

 When did she discover the lump?

 Family history of breast problems?
 Previous breast problems?
 Previous breast biopsy or other breast
surgery?
 Is it hard or soft?
 Has lump and is grown larger or smaller
 Nipple discharge
 Any medications?
Breast Cyst
 Smooth, unilateral
mass
 Feels like a cyst
 Infrequently associated
with malignancy
 Aspirate
 Watch for reforming of
cyst
 Recurring cysts are
more worrisome
Fibroadenoma
 Common
 Benign
 Solid, rubbery, non-
tender
 Round or oval
 Rarely grow > 2-3 cm

 FNA or excisional Bx
 Observe in adolescents
 Fat necrosis
 Firm, tender, indurated, ill-
defined mass

 Usually traumatic

 damaging and disintegrating

fatty tissues.

 Typically occurs in obese

women with very large breasts.

 Misdiagnosed as cancer, so
removed during a surgical
biopsy.
Necrotic area is surrounded by lipid
filled macrophages and foreign-
body giant cells
Malignant masses
 Hard
 Mostly painless

 Irregular
 Skin dimpling
 Nipple retraction

 Bloody or watery discharge

 Possibly fixed to the skin or

chest wall
Diagnosis

 Mammogram
 Biopsy

 Ultrasound

 Breast exam

 Blood testing

 Chest x-ray
Breast self examination
Step 1 

 Begin by looking at your breasts in the

mirror with your shoulders straight and
your arms on your hips.
 Here's what you should look for:
 Breasts that are their usual size, shape,
and color.
 Breasts that are evenly shaped without
visible distortion or swelling.
 If you see any of the following changes,
bring them to your doctor's attention:
 Dimpling, puckering, or bulging of the
skin.
 A nipple that has changed position or
become inverted (pushed inward
instead of sticking out).
 Redness, soreness, rash, or swelling.
 Raise your arms and
look for the same Step 2 &3 

changes.

 While you're at the

mirror, gently squeeze
each nipple between
your finger and thumb
and check for nipple
discharge (this could be
a milky or yellow fluid or
blood).
 Feel your breasts while lying down, using your right hand to feel
your left breast and then your left hand to feel your right breast.
Use a firm, smooth touch with the first few fingers of your hand,
keeping the fingers flat and together.

 Cover the entire breast from top to bottom, side to side—from

your collarbone to the top of your abdomen, and from your armpit
to your cleavage.
 Finally, feel your breasts
while you are standing or
sitting.

 Many women find that the

easiest way to feel their
breasts is when their skin is
wet and slippery, so they
like to do this step in the
shower.

 Cover your entire breast,

using the same hand
movements described in
Step 4.
Normal breast
Cyst
Mass
Treatment
 Relief of symptoms
 Anti-inflammatory
medications
 Studies have shown some
benefit from the short term
use of the antiestrogenic
drug Tamoxifen in relieving
breast pain.
!Thank you