Fibrocystic
breasts are characterized by lumpiness and usually discomfort in one or both
breasts. The lumpiness is due to small breast masses or breast cysts. The condition is very common and benign, meaning that
fibrocystic breasts and there there not malignant(cancerous).
Fibrocystic breast disease (FBD) is now referred to as fibrocystic changes or
fibrocystic breast condition, is the most common cause of "lumpy
breasts" and affects more than 60% of women. The condition primarily
affects women between the ages of 30 and 50, and tends to resolve after menopause.Fibrocystic breast:: Fibrocystic breast condition is
lumpiness in one or both breasts.
·For
some women, symptoms of fibrocystic breast condition include breast tenderness
and breast pain.
·Fibrocystic
breast condition is a very common and benign condition.
·Normal
hormonal variation during the menstrual cycle is the primary contributing factor to fibrocystic
breast condition.
·Fibrocystic
breast condition is a cumulative process that mainly affects women over 30
years of age and continues through perimenopause and menopause. However, the
condition becomes less of a problem after menopause (Postmenopause).
·Recommended
measures for women with fibrocystic breast condition include learning about the
problem and its symptoms; having regular breast exams by a healthcare
professional; and having regular mammograms.
·Natural
home remedies, and supplements to help relieve fibrocystic breast pain that
have been reported helpful in some people include vitamins C, E, B6, and
A, and oil of primrose.
·Over
the counter (OTC) medicines that may help the pain of fibrocystic breasts
include nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, naproxen
(Aleve), and ibuprofen (Advil).
·Other
treatments of fibrocystic breast condition aims at the relief of breast tenderness
and addressing any menstrual irregularities.
The diagnosis of fibrocystic breasts
is complicated by the fact that the condition can vary widely in its severity. Breast
Pain Symptoms
Many women experience mild monthly
breast pain in conjunction with their menstrual periods. For some women,
however, the pain can be more severe. This premenstrual breast pain is referred
to as cyclic breast discomfort.
Much less common causes of breast
pain include benign growths in the breasts (including cysts such as in fibrocystic
breast condition), breast cancer, and certain medications. Breast pain is
called mastodynia, mastalgia, or mammalgia by physicians.
In some women, the symptoms of
fibrocystic breast condition can be very mild with minimal breast tenderness
or pain. The symptoms can also be limited in time, usually
occurring only premenstrually. It may not even be possible to feel any lumps
when the breasts are examined by the woman herself or by her doctor. In other
women with fibrocystic breasts, the painful breasts and tenderness are
constant, and many lumpy or nodular areas can be felt throughout both breasts.
Which
women develop fibrocystic breasts? Can you have the condition after menopause
(postmenopause)?
Fibrocystic breast condition
primarily affects women 30 years of age and older. The reason for this is that
the condition likely results from a cumulative process of repeated monthly
hormonal cycles and the accumulation of fluid, cells, and cellular debris
within the breast. The process starts with puberty and continues through menopause.
After menopause (postmenopause),
fibrocystic breast condition becomes less of a problem.
Not usually. As a rule, fibrocystic
breast condition tends to be symmetrical (bilateral) and affects both breasts.
A woman can have more fibrocystic involvement in one breast than in the other.
The less affected breast, however, often "catches up" over the years,
and eventually both breasts become almost equally fibrocystic.
No. In the past, fibrocystic breast
condition was often called fibrocystic breast disease. However, it is not a
disease, but a condition. Most women tend to have some lumpiness in their
breasts. Therefore, it is now being more appropriately termed fibrocystic
breast condition. The abbreviation is FCC (an acronym derived from FibroCystic
breast Condition).
Other names that have been applied
to fibrocystic breast condition include mammary dysplasia, chronic cystic mastitis, diffuse cystic mastopathy, and benign breast disease (a
term that includes other benign breast disorders, including infections).
Fibrocystic breast condition
involves the glandular breast tissue. The sole known biologic function of these
glands is the production, or secretion, of milk. Occupying a major portion of
the breast, the glandular tissue is surrounded by fatty tissue and support
elements. The glandular tissue is composed of different types of cells: (1)
clusters of secretory cells (cells that produce milk) that are connected to the
milk ducts (tiny tubes); and (2) the cells that line the surfaces of the
secretory cells, called the epithelial cells.
The most significant contributing
factor to fibrocystic breast condition is a woman's normal hormonal variation
during her monthly cycle. Many hormonal changes occur as a woman's body
prepares each month for a possible pregnancy. The most important of these hormones are estrogen
and progesterone. They directly affect the breast tissues by causing cells
to grow and multiply.
Many hormones aside from estrogen
and progesterone also play an important role in causing fibrocystic
breasts. Prolactin, growth factor, insulin, and thyroid hormone are some of the other major hormones that are produced
outside of the breast tissue, yet act in important ways on the breast. In
addition, the breast itself produces hormonal products from its glandular and
fat cells. Signals that are released from these hormonal products are sent to
neighboring breast cells. The signals from these hormone-like factors may, in
fact, be the key contributors to the symptoms of fibrocystic breast condition.
These substances may also enhance the effects of estrogen and progesterone and
vice versa.
The same cyclical hormones that
prepare the glandular tissue in the breast for the possibility of milk
production (lactation) are also responsible for a woman's menstrual period. However, there is a major difference between what happens
in the breast and uterus.
In the uterus (the womb), these
hormones promote the growth and multiplication of the cells lining the uterus.
If pregnancy does not occur, this uterine lining is sloughed off and discharged
from a woman's body during menstruation.
In the breast, these same hormones
stimulate the growth of glandular breast tissue. They also increase the
activity of blood vessels, cell metabolism, and supporting tissue. All this
activity may contribute to the feeling of breast fullness and fluid retention
that women commonly experience before their menstrual period.
When the monthly cycle is over,
however, these stimulated breast cells cannot simply slough away and pass out
of the body like the lining of the uterus. Instead, many of these breast cells
undergo a process of programed cell death, called apoptosis. During apoptosis,
enzymes are activated that start digesting cells from within. These cells break
down and the resulting cellular fragments are then further broken down by scavenger
cells (inflammatory cells) and nearby glandular cells.
During this process, the fragments
of broken cells and the inflammation may lead to scarring (fibrosis) that
damages the ducts and the clusters (lobules) of glandular tissue within the
breast. The inflammatory cells and some of the breakdown fragments may release
hormone-like substances that in turn act on the nearby glandular, ductal, and
structural support cells.
The amount of cellular breakdown
products, the degree of inflammation, and the efficiency of the cellular
cleanup process in the breast vary from woman to woman. These factors may also
fluctuate from month to month in an individual woman. They may even vary in
different areas of the same breast.
Caffeine has been implicated as contributing to both the
symptoms and scarring (fibrocystic) changes in fibrocystic breast condition.
However, when the scientific evidence is reviewed, the results are conflicting,
and no firm benefit of caffeine restriction
has been scientifically established. Moreover, there appears to be no evidence
that caffeine increases the risk of breast cancer. However, in women with fibrocystic breast condition, a
trial of caffeine restriction may be helpful. (Note that coffee is not the only
source of caffeine. Tea, chocolate,
and certain soft drinks also
contain caffeine.)
At this time, there is a great deal of
circumstantial evidence that dietary and hormonal factors can affect
fibrocystic breast condition. Still, a firm association between dietary factors
and fibrocystic breast condition has not been established
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