BMJ Best Practice Podcast Fibrocystic breasts: an update on diagnosis and management
9 snips
Jun 19, 2023 The podcast discusses the prevalence and symptoms of fibrocystic breasts, including the association with menopause. It explores different investigation and diagnostic tests, such as ultrasounds and mammograms. The management and interventions for fibrocystic breasts are also discussed, including bra fitting and dietary changes. The effectiveness and side effects of hormonal treatments and alternative options for breast pain are explored. The podcast also addresses challenges in treatment and concerns about the association with breast cancer.
AI Snips
Chapters
Transcript
Episode notes
Definition Is Symptom-Based Not Pathology-Only
- Fibrocystic breasts is a catch-all term for symptoms like lumpiness, cysts, pain and nipple discharge.
- These changes can exist microscopically without symptoms and vice versa.
Use History And Targeted Workup First
- Diagnose fibrocystic change clinically but only after excluding other causes through appropriate workup.
- Tailor investigations to the presenting symptom rather than assuming the diagnosis.
Choose Imaging Based On Findings
- Use ultrasound for a palpable mass and add mammography if age-appropriate.
- If imaging is inconclusive or discharge occurs, pursue ductography or biopsy as indicated.