I happened to see a 40 y/o Egyptian female in my office yesterday with a palpable breast mass. She has no family history of any disease and no medical issues until several months ago, when she experienced some menstrual irregularity. A friend gave her something that was purported to be a common, over-the-counter remedy. Two months later she now has a numerous (> 20) rounded, firm 1cm, movable breast masses. On office ultrasound they are all simple cysts.
The patient can't recall the name of this remedy but I assume it's loaded with hormones.
Anyone seen such a thing?