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Womens Health Cards > Benign Breast Disorders > Flashcards

Benign Breast Disorders Flashcards

1
Q

What is an infection of the breast

A

Mastitis

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2
Q

What is the most common organism causing mastitis

A

S. aureus

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3
Q

What is the main risk factor of developing mastitis

A

Breast feeding

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4
Q

What are some symptoms of mastitis

A

Fever, tenderness, erythema, induration, unilateral, warmth

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5
Q

What is the treatment for mastitis

A

Dicloxacillin 500mg

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6
Q

Can a patient who has mastitis still breastfeed

A

Yes

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7
Q

What is a complication of mastitis and what is the treatment

A

Breast abscess you will need to I&D

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8
Q

What are the worrisome signs with nipple discharge

A 
Serous, bloody
Spontaneously comes out
Unilateral 
Secretes from one duct
Mass present
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9
Q

What is a common cause of bloody nipple discharge

A

Intraductal papilloma, invasive papillary carcinoma

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10
Q

What is a common cause of galactorrhea

A

Pregnancy, pituitary adenoma, thyroid disease, meds, stress

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11
Q

What is a common cause of serous nipple discharge

A

Normal menses, OCP, early pregnancy, fibrocystic changes

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12
Q

What is a common cause of yellow tinged nipple discharge

A

Fibrocystic changes, galatocele

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13
Q

What is a common cause of green and sticky nipple discharge

A

Duct ectasia

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14
Q

What is a common cause of purulent nipple discharge

A

Breast abscess

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15
Q

Name the dx.
A patient comes to you with milky nipple discharge from both breast. On exam there are no masses noted. Patient stated that she is not breastfeeding

A

Galactorrhea

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16
Q

What is galactorrhea due to

A

High levels of prolactin (Hyperprolacinemia)

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17
Q

What do you want to do to work up a patient with bilateral milky discharge in a non-lactating women

A

This is galactorrhea want to get the following;
TSH, prolactin level, and review meds
Consider MRI

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18
Q

Is breast pain a common symptom of breast cancer

A

No

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19
Q

How do you normally treat breast pain

A

Tylenol or NSAIDS

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20
Q

What are some sx of a worrisome breast mass

A

Dominant mass, dense/firm, irregular, immobile, LN>1cm, firm, matted, more than one, bloody discharge

21
Q

What can an US tell you on a breast mass

A

Helps distinguish if its solid or cystic

22
Q

What type of masses and mammograms evaluate

A

Solid

23
Q

What hormone is known to commonly cause fibrocystic changes

A

Estrogen

24
Q

What type of sx does someone with fibrocystic changes of their breast have

A

Breast pain/tenderness that is cyclic
Focal or multiple areas
Worse in perimenstrual phase
May have serous nipple discharge

25
Q

What do you want to do to dx a fibrocystic changes in the breast

A

US or mammogram

26
Q

Why cant you use mammograms in a younger women

A

Not as acccuarate because younger women have more Dense breast tissue

27
Q

What is the treatment for fibrocystic changes of the breast

A

Wear a supportive bra

NSAIDS/Tylenol

28
Q

What is the most common benign breast tumor in young women

A

Fibroadenoma

29
Q

When can a fibroadenoma increase in size

A

During pregnancy or estrogen use

30
Q

How does a typical fibroadenoma feel

A

Round, well-circumsized, mobile, rubbery mass, non-tender

31
Q

How do you treat a fibroadenoma

A

After benign imaging can follow-up in 3-6 months with repeat US

32
Q

What is an uncommon fibroepitheal breast tumor

A

Phyllodes tumor

33
Q

What does a phyllodes tumor look like

A

Large mass (4-7cm) bulky, overlaying skin warm and red, grow rapidly

34
Q

What do you need to do for a phyllodes tumor

A

core needle biopsy bc of risk of malignancy

35
Q

What is the treatment of a phyllodes tumor

A

Wide local excision with 1cm margins

36
Q

What is the most common cause of bloody discharge

A

Intraductal papilloma

37
Q

What is a benign solitary lesion involving epithelial lining of lactiferous ducts

A

Intraductal papilloma

38
Q

What is the treatment of a intraductal papilloma

A

Diagnosis and treatment is excision of involved ducts

39
Q

In what age do intraductal papilloma occur in

A

Post menapausal women

40
Q

What is acute/chronic inflammation of the ductal system that causes dilation of mammary ducts

A

Mammary duct ectasia

41
Q

Name the dx.
A 50 y/o women presents to you with a green sticky nipple discharge that is bilateral. She is having some tenderness and redness surrounding her nipples

A

Mammary duct ectasia

42
Q

How do you diagnose mammary duct ectasia

A

Mammo and excisional biopsy to rule out malignancy

43
Q

What is the treatment for mammary duct ectasia

A

Local excision of the inflamed area and sometimes needs duct excision

44
Q

What is a milk filled cyst from a plugged milk duct, during pregnancy, breastfeeding, or weaning

A

Galactocele

45
Q

Name the dx.
A breastfeeding patient comes to you with a round mobile mass in her left breast. She has noticed a whitish, yellow discharge from that breast. There is no pain associated with her sx

A

Galactocele

46
Q

How do you diagnose a galactocele

A

US-helps to differenciate from other causes

aspiration of fluid-confirms the dx

47
Q

How do you treat a galactocele

A

Repeated aspiration or excision if bothersome

48
Q

Can you continue breastfeeding during treatment of a galactocele

A

Yes

Womens Health Cards (17 decks)

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