Benign breast lumps (fibroadenoma, cysts)
Fibroadenoma mammae / mastopathia fibrocystica · Nezhoubné bulky v prsu (fibroadenom, cysty)
female only
What it is
Most breast lumps are not cancer: smooth, mobile fibroadenomas in young women, fluid cysts in the forties, and lumpy fibrocystic change that follows the cycle.
Symptoms & signs
- Smooth, rubbery, mobile lump (fibroadenoma)
- tender round lump that appears quickly (cyst)
- lumpy, tender breasts before periods
- nipple discharge in some
🚩 Get help if…
- see a doctor soon A new lump that does not go after your next period
- see a doctor soon A hard, fixed lump or one that is growing
- see a doctor soon Skin dimpling, an inward nipple or bloody nipple discharge
- see a doctor soon A red, hot, painful breast with fever
Where it strikes
Medical treatment
- Triple assessment: examination, ultrasound or mammogram, needle biopsy
- leave small fibroadenomas
- drain painful cysts
- remove large or growing lumps (excision or vacuum)
Natural & lifestyle
- Well-fitting supportive bra
- monthly self-checks
- report any new lump
Emerging & experimental
- Cryoablation of fibroadenomas
- high-intensity focused ultrasound
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Evening primrose oil — trials found no benefit over placebo for breast pain not confirmed in trials
- Molecular iodine — a small trial eased fibrocystic pain early / small studies
- Cutting caffeine — anecdotal; studies inconsistent anecdotal / traditional
ICD codes
- ICD-10 N60.9
- ICD-10 D24
- ICD-11 GB20 Benign breast disease
- ICD-11 2F30.5 Fibroadenoma of breast