In simple fibrocystic disease, there is an increase of fibrous tissue associated with dilatation of breast ducts and formation of cysts.
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Cysts are virtually always benign. There are characteristics about a cyst that would cause anxiety: if the cyst looks as though it has a solid mass in it, if there is blood in the fluid aspirated or if there is a lump palpable in the breast after the fluid has been withdrawn.
Sclerosing adenosis is characterised by intralobular fibrosis and proliferation of small ductules. It is a benign condition.
Treatment
Cysts should be aspirated (by fine needle aspiration) and the fluid examined by a cytologist, to exclude malignancy (cancer). Alternatively, they should be surgically removed, followed by histological examination.
Reviewed by Dr Jenny Edge, General Surgeon, BSc, MB BS, FRCS (Edin), M Med (Stell.)
Last Updated: 28/7/203
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