Benign breast Flashcards
List associations with mastitis
Lactating (puerperal mastitis)
Diabetes
Rheumatoid arthritis
Corticosteroids/ immunosuppression
Trauma
Granulomatosis
Smoking
What bacteria is the most common cause of mastitis?
S. aureus
Lactational abscess typically occurs in which region of the breast?
Peripherally
- Outer, upper quadrant
Non-lactational abscess typically occurs in which region?
Central/ subareolar
Lower quadrants
Complications of mastitis
Breast abscess
Mammary duct fistula
Sepsis
Necrotising fasciitis
Breast scarring
Presentation of mastitis
Painful breast
Swollen, tender, red, warm wedge-shaped mass
Fever, malaise
Periareolar–> green nipple discharge, nipple retraction
Breast fibroadenoma is characterised by what type of tissue?
Benign growth of epithelial and stromal tissue of the lobules.
Fibroadenoma typically affects women of which age?
<40
Presentation of fibroadenoma
Multiple, smooth, mobile rubbery breast lump
- Typically <5cm
- Can affect both breast
How is fibroadenoma managed
Can be left and monitored if small with low malignancy potential
Incision indications
- >3cm
- Breast distortion
- Patient preference
Phyllodes tumour of the breast is made up of what tissue?
Epithelial and stromal tissue
What is the malignant potential of phyllodes tumour
33%
What age of women is typically affected by phyllodes tumour?
Middle aged/ older women
How are phyllodes tumour typically managed
Excision with 1cm margin/ mastectomy
Duct ectasia describes…
Dilation and blockage of mammary ducts
- Associated with menopausal women
