benign breast disease Flashcards
fat necrosis - who most commonly get this?
middle aged women
fat necrosis- typical history ?
trauma, especially seat belt injuries
how does fat necrosis present ?
mastalgia, breast lump, involution of the breast
what would MXR show?
translucent bubbles
what is the management of fat necrosis ?
nil, resolves spontaneously
Condition associated with blockage and dilation of lactiferous ducts
duct ectasia
duct ectasia typical patient ?
peri or post menopausal women who smoke
presentation of duct ectasia ?
mastalgia
slit like nipple retraction
palpable mass behind the nipple
purulent and potentially blood stained nipple discharge
management of duct ectasia?
smoking cessation
duct excision –> michrodochectomy
• Condition associated with the growth of multiple beningn lesions in the breast.
fibrocystic change
fibrocystic change - mosst commonly seen in which type of patient?
perimenopausal
how does FC present?
multiple lumps within the breast (rope like appearance)
breast described as having cobblestone appearance
sudden and cyclical mastalgia (before and during period)
management of fibrocystic change?
nil
benign breast tumours that grow from an entire lobule ?
fibroadenoma
what is it described as due to mobility?
the breast mouse
what age group of women get fibroadenomas?
20-30
how would you describe lesion in fibroadenoma ?
firm, discrete, painless and mobile
management of fibroadenoma?
nil, unless big and distorting the breast
Single lesions are more commonly seen in older women and develop under the nipple
duct papilloma
duct papilloma - Multiple lesions usually grow more peripherally and are seen in?
younger women
how does duct papilloma present?
lump and blood stained discharge
what is the management of duct papilloma
duct excision and microdochecomy
what is a microdochecomy
removal of a lactiferous duct
what is a hamartoma?
normal breast tissue in abnormal proportion