Nonmalignant conditions of the breast. ACOG Technical Bulletin Number 156--June 1991 (Replaces No. 71, September 1983).

The evaluation of benign conditions of the breast requires constant vigilance in relation to diagnosis, treatment, and, importantly, exclusion of carcinoma. Fortunately, the clinical presentation and epidemiologic considerations of the various benign lesions of the breast provide information permitting a fairly precise diagnosis. Fibrocystic changes, with its various subconditions, certainly is the most prominent benign condition, but other benign alterations occurring in the breast are also somewhat common. The management of fibroadenomas requires precise judgment and depends partly on the patient's age and the characteristics of the growth. Acute infections such as mastitis require prompt intervention and treatment. Recurring infections such as a subareolar abscess should be treated specifically in an aggressive and definitive manner. Infrequently occurring problems such as superficial thrombophlebitis, galactocele, and fat necrosis can be very uncomfortable, and occasionally, their diagnosis will be more difficult to establish. They, however, demand accurate diagnosis and definitive treatment. The axiom of excisional biopsy and histologic evaluation of any lesion that does not respond to treatment is the most important guideline in the treatment of benign breast disease.

Patient Criteria & Setting