Benign Breast Disease Flashcards
What main symptom would suggest its more benign than cancerous?
Pain - so pain is a good sign
Fibroadenoma:
Is it firm or fluctuante?
Is it smooth or rough?
Is it painful?
Is it mobile or tethered?
What is it also known as?
Firm
Smooth
No, Painless
Mobile
Breast mouse
Cyclical mastalgia:
What is it?
What else may happen to the breasts? - 2
Pain relate dot the menstrual cycle
Swelling and tenderness
Breast cysts:
During what time of a woman’s reproductive life does it tend to occur?
Is it smooth or rough?
Is it mobile or tethered?
It could also possibly be tender!!!
What does FNA reveal?
Years leading up to menopause
Smooth
Mobile
Clear fluid and resolves the lump
Mastitis and breast abscesses:
When do they usually occur?
What symptoms occur? - think abscess
What is the main medical Rx?
What if this is not sufficient?
When lactating
Enlarging tender lump, fever, erythema of overlying skin
Flucloxacillin
Surgical drainage
Fat necrosis:
What is this?
Is it painful?
What may it look like?
Lumps which develop post-trauma
No, it is painless
May look red and/or bruising
Duct ectasia:
During what time of a woman’s reproductive life does it tend to occur?
The duct becomes blocked leading to discharge. What may the discharge look like? - 4
It may also cause nipple inversion. What does the nipple look like?
What may be felt?
Investigate as you would cancer
Menopause
Cheesy
Green
Brown
Sometimes bloody
A slit - almost like a keyhole - breast cancer would have nipple retraction instead of an inversion
Subareolar mass/abscess
Intraductal papilloma:
What is the main symptom?
Is it uni/bilateral?
What can be done with the discharge?
Bloody nipple discharge - the commonest cause
Unilateral;
Cytology
