When examining the breasts of a 45-year-old female patient, you note nodularity throughout both breasts. There is no dominant mass, tenderness, nipple change, or skin change. Which of the following condition is most likely?
A. Multiple fibroadenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis
ANS: A
Breast tissue is normally glandular and may have a rather nodular consistency. The degree of nodularity tends to fluctuate through the menstrual cycle in premenopausal women. A dominant breast mass is a mass that persists throughout a woman's hormonal cycles, is larger and firmer than any other irregularities, and differs from rest of the breast tissue. A fibroadenoma is a soft discrete breast mass that is moveable, non-tender, and benign. Mastalgia is a condition of pain in the breast. Mastitis is an infection that causes erythema, swelling, and discharge from the breast.
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