Fibrocystic breast disease/chronic Cystic Mastitis/Mammary dysplasia

Symptoms  usually follow one of two patterns. Lumpiness and breast tenderness may be spread throughout the breasts, and usually worse in the week or so before the onset of your period. After your period you will notice a decrease in pain and lumpiness. Or there may be one or several clearly defined cyst-like lumps (often affecting only one breast), varying in size from a pea to a golf ball. These lumps are also often more painful pre-menstrually.

Breast pain and lumpiness usually has a hormonal basis. Cyclical breast tenderness and lumpiness is a common feature of premenstrual syndrome, and is partly the result of a relative excess of estrogen. Many women with this condition also have elevated levels of the hormone prolactin, the chief function of which is to regulate the development of the breasts and milk secretion during and after pregnancy.

While FBD or cystic mastitis is a benign condition, the presence of fibroadenomas (smooth, firm, benign tumours which feel slippery and move around the breast easily) may increase the risk of breast cancer in women where there is a family history of the disease. Otherwise, there is no clearly proven link between FBD and increased breast cancer risk.

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