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- Mar 7, 2010
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This is apparently a lot harder than it seems. I know the Fibrocystic changes are the most common, and a hormonally influenced. I know that fibroadenoma is hormonally influenced as well. From reading a UW explanation and other sources, the only discernable difference is that fibroadenoma is more likely in pregnancy, whereas both fibroadenoma and FCC can occur with relation to the menstrual cycle. Anyway, I missed a question where the patient was pregnant and the mass had increased and then resolved after birth. Based on THAT, apparently we were supposed to select fibroadenoma over fibrocystic change.
So, I guess my question is essentially two-fold:
1. Do we really have to know and distinguish among the histology of fibroadenoma and the multiple types of fibrocystic change (including sclerosis adenosis, cystic blue dome, etc)
OR
2. Is it an unspoken secret that these types of questions are basically always "fibroadenoma"? Come to think of it, of all the questions I have done, I dont think any of them were ever fibrocystic change.
So, I guess my question is essentially two-fold:
1. Do we really have to know and distinguish among the histology of fibroadenoma and the multiple types of fibrocystic change (including sclerosis adenosis, cystic blue dome, etc)
OR
2. Is it an unspoken secret that these types of questions are basically always "fibroadenoma"? Come to think of it, of all the questions I have done, I dont think any of them were ever fibrocystic change.