Benign Breast disease

Question 1

What are the details of fibroadenoma

Answer 1

o Usually <30
o Benign overgrowth of collagenous mesenchyme of one breast lobule
o Firm, smooth, mobile lump, painless
o Could be >1
o 1/3 regress, 1/3 stay the same, 1/3 get bigger

Question 2

What are the details of breast cysts

Answer 2

o	Common >35 yrs esp. perimenopausal. 
o	Benign, fluid-filled rounded lump
o	Not fixed to surrounding tissue
o	Occasionally painful
o	Dx confirmed on aspiration

Question 3

What are the details of infective mastitis/breast abscesses

Answer 3

o Infection of mammary duct associated w/lactation
o Hot swelling of breast segment
o Give Abx

Question 4

What are the details of duct ectasia

Answer 4

o Typically around menopause
o Ducts = blocked + secretions stagnate
o Nipple discharge (green/brown/bloody) ± retraction ± lump
o Refer for confirmation of diagnosis

Question 5

What are the details of fat necrosis

Answer 5

Fibrosis and calcification after injury to breast tissue