Fibrocystic breast disease Treatment in Dievo Surgery Center

Fibrocystic breast disease care at DIEVO Surgery Center in Kyiv, Ukraine, includes diagnostic tests, medication, cyst procedures, and breast surgery. The center has a dedicated mammology unit. Dr. Vitaliy Volodymyrovych Zaichuk is a breast surgeon-mammologist and oncologist with a PhD.

Diagnostic tests on cycle days 6–12

Ultrasound and mammography are scheduled for days 6–12 of the menstrual cycle. The diagnostic workup may also include:

• Mammologist-oncologist consultation: breast examination and palpation, including the armpit and area above the collarbone.
• Breast imaging: ultrasound, mammography, or MRI.
• Breast biopsy: fine-needle aspiration, core needle biopsy, or open surgical biopsy.
• Sample analysis: cytology of biopsy material or nipple discharge, and histology of biopsy tissue.

Eight treatment options for fibrocystic breast disease

For diffuse changes without nodules, treatment may start with medication to balance or correct hormone levels. Cyst procedures and surgery are also available:

• Hormonal therapy: medication to stabilize hormonal levels or correct an imbalance.
• Breast cyst puncture with sclerosing solution: the fluid is drained, then a solution is placed in the cyst cavity to help prevent recurrence.
• Vacuum aspiration of a breast cyst: outpatient removal of cyst contents, usually taking about 30 minutes.
• Surgical removal of a breast cyst: an option for cysts that recur frequently.
• Sectoral breast resection: removes the affected breast sector while preserving the organ.
• Lumpectomy: removes the affected area while preserving the breast.
• Quadrantectomy: removes the affected quadrant while keeping the remaining breast gland.
• Subcutaneous mastectomy with endoprosthetics: removes breast tissue and includes reconstruction when needed.

DIEVO’s mammology program includes organ-preserving surgery and breast reconstruction. Minimally invasive outpatient procedures may allow same-day discharge; the stated recovery period for minimally invasive techniques is up to 3 days. Patients can request a consultation through Bookimed.