What is a fibrocystic change of the mammary gland? When is fine needle aspiration cyst needed?

The article is professionally consulted by Master, Doctor Ton Nu Tra My - Department of Diagnostic Imaging - Vinmec Central Park International General Hospital.

Fibrocystic breast change, also known as cystic fibrosis, is a benign disease that changes the histological structure of the mammary gland, which can cause cosmetic loss, pain and discomfort to the patient. In order to make an accurate diagnosis, the patient needs to undergo a number of in-depth tests.

Fibrocystic changes are common in women and account for more than 50% of women with mammary gland diseases. The clinical feature is a change in the fibroadenomatous tissue of the breast, which is not cancerous, which is considered normal.
The disease is common at the age of 40 to perimenopause, rarely in the age of under 20 and after menopause. The cause of the disease is due to factors affecting estrogen levels that cause breast tissue to grow and proliferate, causing the formation of fibrocystic disease.
The mechanism that causes changes in the mammary gland fibers is as follows: Estrogen levels starting at puberty affect the development of mammary tissue. After the mammary gland develops stably, estrogen still has a certain effect causing the mammary gland to appear proliferative. Especially for women who are in the reproductive period, changes in estrogen levels occur frequently. The increase in estrogen levels, the cells of the mammary gland proliferate, when menstruation begins, the proliferation stops, the proliferating cells stop suddenly, twisting, causing tumors and lumps to form. changes in mammary gland fibers.
Changes in the fibrocystic breast are divided into 3 types:
Cystic form: This is the most common form of the disease, containing fluid inside, the cystic shell is usually thin. Fibromorphosis: Rare, presenting as patches or solid masses, up to a few centimeters in size, unknown limits, usually in the upper 1⁄4 of a breast, mild pain before each menstrual period. Epithelial hyperplasia: Presents as a solid (non-fluid) plaque or mass, with unclear boundaries, denser than the surrounding mammary gland, painful when pressed.

Benign breast tumor does not pose a danger to the patient, but the phenomenon of benign breast tumor can cause many discomforts such as breast pain, breast tenderness, breast swelling, especially before menstruation.
Patients should not be subjective with benign breast tumors because they can still turn into malignant tumors, so they should continue to self-examine and periodically check for breast cancer (if any).

Perform fine-needle aspiration when the following symptoms are present:
Newly discovered breast lumps Painful, frequent or worse breast pain after the end of menstruation Pre-existing lumps increase in size In addition, it is necessary to do tests and Other procedures such as ultrasound, mammogram, core biopsy for accurate diagnosis.

Periodic breast examination and examination: helps to detect early abnormal manifestations of fibrocystic disease, breast cancer for the most appropriate treatment. Do not be too worried because this change is mostly benign. Use a more scientific diet: Increase green vegetables, fruits, vitamins, limit animal fat, fast animals,... in combination with Scientific movement helps blood circulation better, reducing the formation of tumors and lumps. At Vinmec International General Hospital, there is a Breast Cancer Screening Package to help detect breast cancer early even when there are no symptoms.
Breast cancer screening package at Vinmec for the following subjects:
Female customers, over 40 years old. Customers wishing to be able to screen for breast cancer Customers are at high risk of cancer – especially customers with a family history of breast cancer. Women of reproductive age, perimenopause and menopause. Women who are having symptoms of breast cancer such as: pain in the breast, lump in the breast, etc

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