Benign breast conditions Flashcards
What ar th types of adenoma?
Fibroadenoma
Tubular adenoma
Lactating adenoma
What is the pathology of a fibroadenoma?
Proliferation of epithelial and stromal elements
Ducts distorted and elongated
What are the 2 types of fibroadenoma of the breast?
Intracanalicular
Pericanalicular
What is the appearance of intracanalicular fibroadenomas?
Stromal proliferation compressing epithelial structures into clefts
What is the appearance of pericanalicular fibroadenomas?
Stromal proliferation around epithelial structures
When are fibroadenomas most common?
Child bearing age
Peak in 3rd decade
What are the clinical features of fibroadenomas?
Circumscribed
Mobile and non painful
Who are tubular adenomas seen in?
Young women
What are the clinical features of a tubular adenoma?
discrete, freely mobile mass
Uniform sized ducts
What are lactating adenomas?
Enlarging masses during lactation or pregnancy with prominent secretory change
Where do intraductal papillomas form?
Lactiferous ducts
Who are intraductal papillomas seen in?
Middle aged women
What are the signs and symptoms of intraductal papillomas?
Nipple discharge, often bloody
What is the treatment of intraductal papillomas?
Excision
What is fat necrosis?
Injured, bruised or dead fatty tissue
What can cause fat necrosis?
Trauma
Prior surgery
What are the signs and symptoms of fat necrosis?
Pain or tenderness
Lump or area of thick skin
Similar to breast cancer
What is seen on histology of fat necrosis?
Histocytes with foamy macrophages
What is seen on a mammogram with fat necrosis?
FIbrosis
Calcifications
What is duct ectasia?
Lactiferous duct becomes blocked/clogged
Who is duct ectasia seen in?
Peri- or post- menopausal women
What are the signs and symptoms of duct ectasia?
Green coloured nipple discharge
Can mimic cancer
