Benign Breast Conditions

Question 1

Name 3 signs of inflammation in inflammatory breast conditions of the breast.

Answer 1

Acute signs
Acute inflammation
Mammary duct ectasia

Question 2

What are the 6 benign inflammatory breast disorders?

Answer 2

1. Acute mastitis
2. Periductal mastitis
3. Granulomatous mastitis
4. Mammary duct ecstasia
5. Traumatic fat necrosis
6. Lymphocytic mastopathy
   (7. Silicone breast implants )

Question 3

Explain the 6 benign inflammatory breast disorders.

Answer 3

1. Acute Mastitis
   
   • Bacterial infection of the breast due to cracks in the nipple
   • Seen in lactation and first week of breast feeding
   • Treatment includes antibiotics, breast hygiene and draining.
2. Granulomatous mastitis
   
   • Due to systemic granulomatous disorders I.e. sarcoidosis
   • Infections like TB
   • Nipple piercings
   • Hypersensitivity reaction during lactation
3. Periductal mastitis
   
   • Mostly seen in smokers
   • Nipple inversion
   • Squamous epithelium gets trapped in ducts and keratin is entrapped.
   • Ductal dilation
4. Mammary duct ectasia
   
   • Non-bacterial inflammation of the mammary ducts
   • Seen in multiparous women
   • Thick white discharge often associated
5. Traumatic fat necrosis
   
   • Type 1: seen in older women/ Type 2: seen in younger women (cystic)
   • Palpable mass in the breast that feels like a tumor
6. Lymphocytic mastopathy
   
   • Single or multiple hard masses
   • Seen in type 1 diabetes or in thyroid disease.