benign breast disease

Question 1

fat necrosis - who most commonly get this?

Answer 1

middle aged women

Question 2

fat necrosis- typical history ?

Answer 2

trauma, especially seat belt injuries

Question 3

how does fat necrosis present ?

Answer 3

mastalgia, breast lump, involution of the breast

Question 4

what would MXR show?

Answer 4

translucent bubbles

Question 5

what is the management of fat necrosis ?

Answer 5

nil, resolves spontaneously

Question 6

Condition associated with blockage and dilation of lactiferous ducts

Answer 6

duct ectasia

Question 7

duct ectasia typical patient ?

Answer 7

peri or post menopausal women who smoke

Question 8

presentation of duct ectasia ?

Answer 8

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

Question 9

management of duct ectasia?

Answer 9

smoking cessation

duct excision –> michrodochectomy

Question 10

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

Answer 10

fibrocystic change

Question 11

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

Answer 11

perimenopausal

Question 12

how does FC present?

Answer 12

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

Question 13

management of fibrocystic change?

Answer 13

nil

Question 14

benign breast tumours that grow from an entire lobule ?

Answer 14

fibroadenoma

Question 15

what is it described as due to mobility?

Answer 15

the breast mouse

Question 16

what age group of women get fibroadenomas?

Answer 16

20-30

Question 17

how would you describe lesion in fibroadenoma ?

Answer 17

firm, discrete, painless and mobile

Question 18

management of fibroadenoma?

Answer 18

nil, unless big and distorting the breast

Question 19

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

Answer 19

duct papilloma

Question 20

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

Answer 20

younger women

Question 21

how does duct papilloma present?

Answer 21

lump and blood stained discharge

Question 22

what is the management of duct papilloma

Answer 22

duct excision and microdochecomy

Question 23

what is a microdochecomy

Answer 23

removal of a lactiferous duct

Question 24

what is a hamartoma?

Answer 24

normal breast tissue in abnormal proportion

Question 25

what two things can cause mastitis?

Answer 25

infection of the breast

1. women who are breast feeding
2. women who have duct ectasia

Question 26

presentatiion of mastitis ?

Answer 26

mastalgia
erythema (tenderness and swelling of breast )
abcess - worsening of symptoms, rapidly growing mass

Question 27

management of mastitis ?

Answer 27

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

Question 28

if access is suspected in mastitis, what would you do ?

Answer 28

drain

Question 29

If left untreated, mastitis may develop into a

Answer 29

breast access which will generally need incision and drainage

Question 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

Answer 30

engorgement

Question 31

management of engorgement

Answer 31

nil