Fibrocystic Changes: Questions on Diagnosis and Treatment Options

Q: Fibrocystic Changes: Questions on Diagnosis and Treatment Options

Hello： According to Traditional Chinese Medicine (TCM) theory, individuals who are prone to developing hard lumps in the chest and axillary area generally have stagnation of liver qi, which is often caused by significant emotional stress that they are unable or unwilling to expre

Medical consultation

Hello Doctor: I would like to ask: I am 33 years old and unmarried.
Five years ago, I discovered a breast fibrocystic mass under my right armpit.
I only experience swelling and discomfort during my menstrual cycle, and this year I noticed something that appears to be another fibrocystic mass under my right armpit.
1.
What could be the reason for its development? (There is no family history of this condition.) 2.
Should I ignore it? If I do not address it, will it worsen? 3.
Can traditional Chinese medicine help with this? Is surgery necessary? Thank you!

Zhen Zhu Wan Zi, 30~39 year old female. Ask Date: 2006/12/15

Dr. Huang Zhongzhun reply Traditional Chinese Medicine

Hello: According to Traditional Chinese Medicine (TCM) theory, individuals who are prone to developing hard lumps in the chest and axillary area generally have stagnation of liver qi, which is often caused by significant emotional stress that they are unable or unwilling to express.
This condition may vary with the menstrual cycle.
It is recommended to undergo an ultrasound or mammography at a general surgery department.
If it is a simple fibrocystic condition, TCM can be used for treatment.
Sincerely, Dr.
Huang Zhongzhun, TCM Specialist.

Reply Date: 2006/12/15

More Info

Understanding fibrocystic changes in the breast can be quite complex, especially when it comes to diagnosis and treatment options. Fibrocystic breast changes are common and can include a variety of symptoms such as lumpiness, tenderness, and swelling, particularly in relation to the menstrual cycle. Here’s a detailed response to your questions based on the information provided and general medical knowledge.

1. Causes of Fibrocystic Changes: The exact cause of fibrocystic breast changes is not fully understood, but they are believed to be linked to hormonal fluctuations, particularly estrogen and progesterone. These hormones can cause the breast tissue to become more dense and lumpy. Factors such as age, menstrual cycle, and hormonal changes can influence the development of these changes. While a family history of breast conditions can increase risk, it is not a definitive factor, as many women without such a history also experience fibrocystic changes.

2. Management of Fibrocystic Changes: In many cases, fibrocystic changes do not require treatment unless they cause significant discomfort or concern. If the lumps are not painful and do not change in size or shape, they can often be monitored without intervention. However, if you notice any changes in the lumps, such as increased size, shape, or if they become painful, it is advisable to consult a healthcare provider. While fibrocystic changes are generally benign, it is essential to differentiate them from other breast conditions, including cysts or tumors, which may require further evaluation.

3. Traditional Chinese Medicine (TCM) and Surgery: Some individuals seek alternative treatments, including Traditional Chinese Medicine, to manage symptoms associated with fibrocystic changes. TCM may offer herbal remedies and acupuncture that some find helpful for alleviating discomfort. However, it is crucial to consult with a healthcare provider before starting any alternative treatment to ensure it does not interfere with conventional medical advice or treatment.
Regarding surgery, it is typically not necessary for fibrocystic changes unless there is a significant concern about the nature of the lumps or if they cause considerable discomfort. Surgical intervention is usually reserved for cases where there is a suspicion of malignancy or if the lumps are symptomatic and do not respond to other treatments.

In summary, while fibrocystic changes can be concerning, they are often benign and manageable. Regular monitoring and communication with your healthcare provider are key. If you experience any new symptoms or changes, do not hesitate to seek medical advice. It is always better to err on the side of caution when it comes to breast health.

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