Fibrocystic Change and Fibrocystic Disease of the Breast

The prominence of fibrocystic change of the breast mandates knowledge of pathophysiology, diagnosis, and treatment on the part of all providing primary care to women. This article reviews cystic, epithelial hyperplastic, and fibrotic changes common to fibrocystic change and fibrocystic disease of the breast. Diagnostic modalities including physical examination technique and needle aspiration are presented, together with the rationale for ultrasonography and mammography. A broad spectrum of treatment options is presented for the clinician.