benign breast disease Flashcards

1
Q

fat necrosis - who most commonly get this?

A

middle aged women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

fat necrosis- typical history ?

A

trauma, especially seat belt injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how does fat necrosis present ?

A

mastalgia, breast lump, involution of the breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what would MXR show?

A

translucent bubbles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the management of fat necrosis ?

A

nil, resolves spontaneously

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Condition associated with blockage and dilation of lactiferous ducts

A

duct ectasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

duct ectasia typical patient ?

A

peri or post menopausal women who smoke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

presentation of duct ectasia ?

A

mastalgia
slit like nipple retraction
palpable mass behind the nipple
purulent and potentially blood stained nipple discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

management of duct ectasia?

A

smoking cessation

duct excision –> michrodochectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

• Condition associated with the growth of multiple beningn lesions in the breast.

A

fibrocystic change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

fibrocystic change - mosst commonly seen in which type of patient?

A

perimenopausal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how does FC present?

A

multiple lumps within the breast (rope like appearance)
breast described as having cobblestone appearance
sudden and cyclical mastalgia (before and during period)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

management of fibrocystic change?

A

nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

benign breast tumours that grow from an entire lobule ?

A

fibroadenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is it described as due to mobility?

A

the breast mouse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what age group of women get fibroadenomas?

17
Q

how would you describe lesion in fibroadenoma ?

A

firm, discrete, painless and mobile

18
Q

management of fibroadenoma?

A

nil, unless big and distorting the breast

19
Q

Single lesions are more commonly seen in older women and develop under the nipple

A

duct papilloma

20
Q

duct papilloma - Multiple lesions usually grow more peripherally and are seen in?

A

younger women

21
Q

how does duct papilloma present?

A

lump and blood stained discharge

22
Q

what is the management of duct papilloma

A

duct excision and microdochecomy

23
Q

what is a microdochecomy

A

removal of a lactiferous duct

24
Q

what is a hamartoma?

A

normal breast tissue in abnormal proportion

25
what two things can cause mastitis?
infection of the breast 1. women who are breast feeding 2. women who have duct ectasia
26
presentatiion of mastitis ?
mastalgia erythema (tenderness and swelling of breast ) abcess - worsening of symptoms, rapidly growing mass
27
management of mastitis ?
if breast feeding, continue to do so. make sure complete draining with each feed 1st line is flucloxacillin QDS 7-10 days 2nd line - clindamycin TDS 7-10 days
28
if access is suspected in mastitis, what would you do ?
drain
29
If left untreated, mastitis may develop into a
breast access which will generally need incision and drainage
30
one of the causes of breast pain in breastfeeding women. It usually occurs in the first few days after the infant is born and almost always affects both breasts
engorgement
31
management of engorgement
nil