Benign Breast Disease

Question 1

Fibrocystic Change

Answer 1

• Most common benign breast disorder
• Presents with pain and nodularity
• Symptoms greatest one week before menstruation decrease when it starts
• Manage with analgesia and a well fitting bra
• Does not increase risk of cancer

Question 2

Breast cysts

Answer 2

• Common in middle age
• Palpable, tender lumps, may be recurrent
• Can cause discharge
• Refer

Question 3

Breast Fibroadenoma

Answer 3

• Most common in young women (20-24 years of age)
• Firm, non-tender, highly mobile, palpable lumps
• Refer
• Complex and multiple are associated with increased risk of CA

Question 4

Breast Cancer Pathway Referral Criteria

Answer 4

• Aged ≥30 with unexplained breast lump (with or without pain)
• Non-urgent referral if under 30
• Aged ≥50 with unilateral discharge, retraction, other changes of concern