Last update: Nov. 23, 2019

Maternal Fibrocystic breast disease

Very Low Risk for breastfeeding


Safe. Compatible.
Not risky for breastfeeding or infant.

Las mamas fibroquísticas son cambios benignos en el tejido mamario que ocurren en más de la mitad de las mujeres y que consisten en la aparición de quistes, nódulos y engrosamientos múltiples en ambas mamas que cambian de tamaño con el ciclo menstrual.
Pueden producir dolor y aumento de la sensibilidad al tacto en especial en la parte supero-externa de la mama.
Se deben a una proliferación benigna del sistema alveolar de origen hormonal (Brkic 2018, MedlinePlus 2018).

Puede haber secreción sanguinolenta o marrón-verdosa por el pezón. Se ha comunicado un caso de vómitos hemáticos en un lactante cuya madre tenía mamas fibroquísticas (Aksoy 2013).

Se puede requerir ecografía y punción-biopsia para el diagnóstico en especial si hay nódulos mayores de 2 cm.

Los antiinflamatorios como ibuprofeno o paracetamol y los anticonceptivos orales que se emplean para el tratamiento son compatibles con la lactancia. Ningún otro tratamiento ni restricción dietética tiene eficacia (Rohan 2008).

La sintomatología puede aparecer durante la lactancia, pero no está influenciada por ella (Bernardi 2012). Las mamas fibroquísticas no contraindican la lactancia materna (Lawrence 2016 p610, Lawrence 2013).

Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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References

  1. MedlinePlus. Cambios fibroquísticos en las mamas. Información de salud para usted. 2018 Full text (link to original source) Full text (in our servers)
  2. MedlinePlus. Fibrocystic breast disease. Trusted Health information for you. 2018 Full text (link to original source) Full text (in our servers)
  3. Brkić M, Vujović S, Ivović M, Tančić Gajić M, Marina L, Franić Ivanišević M, Franić D. THE ROLE OF E2/P RATIO IN THE ETIOLOGY OF FIBROCYSTIC BREAST DISEASE, MASTALGIA AND MASTODYNIA. Acta Clin Croat. 2018 Dec;57(4):756-761. Abstract
  4. Lawrence RA, Lawrence RM. Breastfeeding. A guide for the medical profession. Eighth Edition. Philadelphia: Elsevier; 2016
  5. Aksoy HT, Eras Z, Erdeve O, Dilmen U. A rare cause of hematemesis in newborn: fibrocystic breast disease of mother. Breastfeed Med. 2013 Aug;8(4):418-20. Abstract
  6. Lawrence RM. Circumstances when breastfeeding is contraindicated. Pediatr Clin North Am. 2013 Feb;60(1):295-318. Abstract
  7. Bernardi S, Londero AP, Bertozzi S, Driul L, Marchesoni D, Petri R. Breast-feeding and benign breast disease. J Obstet Gynaecol. 2012 Jan;32(1):58-61. Abstract
  8. Rohan TE, Negassa A, Caan B, Chlebowski RT, Curb JD, Ginsberg M, Lane DS, Neuhouser ML, Shikany JM, Wassertheil-Smoller S, Page DL. Low-fat dietary pattern and risk of benign proliferative breast disease: a randomized, controlled dietary modification trial. Cancer Prev Res (Phila). 2008 Sep;1(4):275-84. Abstract

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