Benign Breast

Question 1

Give examples of benign breast disease

Answer 1

Fibroadenoma
Fibroadenosis
Intraductal papilloma
Phyllodes tumour
Radial scar

Question 2

Features of fibroadenoma

Answer 2

Benign neoplasm of a lobule
common in women under the age of 30 years

S/S: ‘breast mouse’ (discrete, non-tender, highly mobile)

Question 3

Management for fibroadenoma

Answer 3

<3cm = conservative (over 2 years will shrink)
>3cm = surgical excision

Question 4

Features of fibroadenosis

Answer 4

Fibrocystic change
Benign mammary dysplasia
No increased risk of breast cancer

Middle-aged women, very common
‘lumpy’ breasts which may be painful, bilateral
Symptoms may worsen prior to menstruation

Question 5

Management for fibroadenosis

Answer 5

Conservative

Question 6

What are intraductal papillomas

Answer 6

local areas of epithelial proliferation in large mammary ducts
hyperplastic lesions rather than malignant or premalignant
Common

Question 7

Symptoms and signs of intraductal papilloma

Answer 7

40-60yo
Clear/blood-stained discharge

Question 8

Management for intraductal papilloma

Answer 8

Microdochectomy (removal or lactiferous duct)

Question 9

Features of phyllodes tumour

Answer 9

Arises from interlobular stroma
Some may arise within pre-existing fibroadenomas
Majority benign but some behave aggressively

> 50yo
Enlarging mass in women

Question 10

Management for phyllodes tumour

Answer 10

Conservative
Consider surgery

Question 11

Features of radial scars

Answer 11

Benign sclerosing lesion (central scarring surrounded by proliferation)
S/S: breast lump / pain

Ix: stellate mass on XR, mammogram

Question 12

Management for radial scar

Answer 12

Biopsy ± excision