Benign breast conditions

Question 1

features of a breast cyst?

Answer 1

smooth discrete lump
may be fluctuant
small chance of malignant change especially if younger

Question 2

features of a fibroadenoma ?

Answer 2

occur in females of reproductive age

firm, regular, rubbery, lump, freely mobile

over 2 years 30% fibroadenomas reduce in size

no chance of malignant change

Question 3

1st line management of breast cyst ?

Answer 3

aspiration

if blood stained or recurring then biopsy

Question 4

1st line management of mastitis ?

Answer 4

continue breast feeding

Question 5

how would you manage a breast abscess ?

Answer 5

surgical incision and drainage + IV antibiotics

Question 6

when would you treat mastitis ?

Answer 6

symptoms persist despite 24-48 hours of effective milk removal

systemic upset
fissure present
positive culture

Question 7

2nd line treatment for mastitis ?

Answer 7

1st line = continue breast feeding

2nd line = flucloxacillin for 10-14 days

Question 8

management of fibroadenoma ?

Answer 8

surgical excision if > 3cm