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General Surgery > Benign Breast Dszs > Flashcards

Benign Breast Dszs Flashcards

1
Q

Classify Benign Tumours of the Breast

A

Inflammatory Breast Diseases
Abberation/Anomalies in normal development and Involution
Neuroendocrine disorders

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2
Q

List out the Non Neoplastic Breast Diseases

A

M’endors DSZ
Acute Breast Infection
Duct Ectasia
Fibradenosis
Fat Necrosis
Chronic Breast Abscess
Cysts
Galactocele
Gynaecomastia

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3
Q

What are the categories of Neoplastic Breast Diseases

A

Epithelial
Connective
Mixed Tumour

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4
Q

Examples of Epithelial Tumors

A

Duct Papilloma
Pure Adenoma

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5
Q

Examples of Connective Breast Tumors

A

Lipoma
Neurofibromas

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6
Q

Mixed Neoplastic Breast Tumors

A

Fibroadenoma
Giant Fibroadenoma
Philodes Tumor

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7
Q

What are breast cycsts

A

Discrete lumps containing serous fluid walled off by fibrous tissue

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8
Q

Breast cyst can be malignant T/F

A

T

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9
Q

Breast cysts are commonly seen alongside what condition

A

Fibroadenosis

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10
Q

What investigations are required to diagnose cysts

A

US & Aspiration

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11
Q

Cysts increase the risk of cancer T/F

A

False

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12
Q

Cysts can become malignant T/F

A

Trye

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13
Q

USS description of cysts

A

Simple
Complex
Complicated

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14
Q

Clinical Features of Breast Cyst

A

Painless swelling
Shirt duration
Located at the UOQ
may appear suddenly mid menstrual cycle and the disappear

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15
Q

Treatment of BCysts

A

Excision: for histology
Needle aspiration

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16
Q

A history of Trauma is always present TFN

A

False

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17
Q

Clinical Features of TFN

A

Hard Mass
Rough surface
Indefinite Edges
Abscence of Nipple Retraction
Axillary nodes not enlarged

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18
Q

Treatment of TFN

A

Excisional Biopsy

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19
Q

TFN is a premalignant lesion T/F

A

False

20
Q

What are the other names for Fibroadenosis

A

Benign Mammary Dysplasia
Fibrocystic Disease
Chronic Cystic Mastitis
ANDI
Cystic hyperplasia

21
Q

Where is the commenest quadrant /location for Fibroadenosis

A

UOQ

22
Q

Which condition is exactly similar to Breast Ça

A

Chronic Breast Abscess

23
Q

What condition forms an ANTIBIOMA

A

CBA

24
Q

Treatment of ABI

A

Antibiotics
Analgesia
Drainage

25
Q

What are benign causes of Nipple retraction

A

Duct ectasia
CBA

26
Q

What are benign causes of Nipple retraction

A

Duct ectasia
CBA

27
Q

What organisms are implicated in Nonlactational Mastitis

A

Bactericides, Anaerobes, Streptococcus

28
Q

Nonlactational Mastitis is a feature of which condition

A

Duct Ectasia

29
Q

Accessory Breasts can be mistaken for which condition

A

Lipoma

30
Q

What is duct ectasia

A

It is the dilatation of one or more l’actife roue ducts which is associated with inflammation of periductal tissues

31
Q

Duct Ectasia is seen in which age group

A

40-50

32
Q

What is the commonest cause of nipple discharge

A

Duct Ectasia

33
Q

What is the Pathology of Duct Ectasia

A

Accumulation of fluid
Dilatation of lactiferus ducts
Leakage of fluids
Periductal inflammation
Formation of Abscess
Healing by fibrosis or mammillary fistula

34
Q

What is Mondors Dsz

A

Variant of Thrombophlebitis affecting the veins of the anterior chest wall

35
Q

What are the risk factors for Mondors Dsz

A

Repeated Upper Limb Excercises
Previous surgical procedures or infection in that area.

36
Q

Clinical features of Mondors Dsz

A

Pain
Tender firm cord( thrombosed vein)
Grove beside cord in elevated arm

37
Q

Treatment for Mondors Dsz

A

Self limiting
Limitation of movement
Fitting Brassiere
Analgesia
Surgical Excision if there’s a mass

38
Q

What is Gynaecomastia

A

Benign enlargement if the male breast

39
Q

Types of Gynaecomastia

A

Physiologic and Pathologic

40
Q

Types of Physiologic

A

Neonatal (bilateral)
Pubertal( unilateral or bilaterally)
Senescence (bilateral)

41
Q

Location of Gynaecomastia

A

Subareola

42
Q

Classification of Gynaecomastia

A

Grade 1: Mild Gynaecomastia with skin no skin redundancy
Grade 2a: Moderate Gynaecomastia with no skin redundancy
Grade 2b Moderate + skin redundancy
Grade 3m Gynaecomastia +skin redundancy + ptôsis

43
Q

Types of Pathologic Gynaecomastia

A

Estrogen excess m Testicular tumors, malnutrition, hypothyroidism & hyperthyroidism, liver cirrhosis
Androgen depletion: ACTH deficiency , Klinfelter
Drugs: inhibitors , estrogen increase, idiopathic

44
Q

Drugs that increase estrogen

A

Estrogen, marijuana, anabolic steroids, digoxin

45
Q

Drugs that inhibit Androgens

A

Cimetidine, Spironolactone, ketoconazole, phenytoin

46
Q

Idiopathic Drugs Gynaecomastia

A

TCA’S, Reserpine, Furosemide

47
Q

Treatment of Gynaecomastia

A

General Surgery (19 decks)

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