Benign Breast Dszs Flashcards
Classify Benign Tumours of the Breast
Inflammatory Breast Diseases
Abberation/Anomalies in normal development and Involution
Neuroendocrine disorders
List out the Non Neoplastic Breast Diseases
M’endors DSZ
Acute Breast Infection
Duct Ectasia
Fibradenosis
Fat Necrosis
Chronic Breast Abscess
Cysts
Galactocele
Gynaecomastia
What are the categories of Neoplastic Breast Diseases
Epithelial
Connective
Mixed Tumour
Examples of Epithelial Tumors
Duct Papilloma
Pure Adenoma
Examples of Connective Breast Tumors
Lipoma
Neurofibromas
Mixed Neoplastic Breast Tumors
Fibroadenoma
Giant Fibroadenoma
Philodes Tumor
What are breast cycsts
Discrete lumps containing serous fluid walled off by fibrous tissue
Breast cyst can be malignant T/F
T
Breast cysts are commonly seen alongside what condition
Fibroadenosis
What investigations are required to diagnose cysts
US & Aspiration
Cysts increase the risk of cancer T/F
False
Cysts can become malignant T/F
Trye
USS description of cysts
Simple
Complex
Complicated
Clinical Features of Breast Cyst
Painless swelling
Shirt duration
Located at the UOQ
may appear suddenly mid menstrual cycle and the disappear
Treatment of BCysts
Excision: for histology
Needle aspiration
A history of Trauma is always present TFN
False
Clinical Features of TFN
Hard Mass
Rough surface
Indefinite Edges
Abscence of Nipple Retraction
Axillary nodes not enlarged
Treatment of TFN
Excisional Biopsy
TFN is a premalignant lesion T/F
False
What are the other names for Fibroadenosis
Benign Mammary Dysplasia
Fibrocystic Disease
Chronic Cystic Mastitis
ANDI
Cystic hyperplasia
Where is the commenest quadrant /location for Fibroadenosis
UOQ
Which condition is exactly similar to Breast Ça
Chronic Breast Abscess
What condition forms an ANTIBIOMA
CBA
Treatment of ABI
Antibiotics
Analgesia
Drainage
What are benign causes of Nipple retraction
Duct ectasia
CBA
What are benign causes of Nipple retraction
Duct ectasia
CBA
What organisms are implicated in Nonlactational Mastitis
Bactericides, Anaerobes, Streptococcus
Nonlactational Mastitis is a feature of which condition
Duct Ectasia
Accessory Breasts can be mistaken for which condition
Lipoma
What is duct ectasia
It is the dilatation of one or more l’actife roue ducts which is associated with inflammation of periductal tissues
Duct Ectasia is seen in which age group
40-50
What is the commonest cause of nipple discharge
Duct Ectasia
What is the Pathology of Duct Ectasia
Accumulation of fluid
Dilatation of lactiferus ducts
Leakage of fluids
Periductal inflammation
Formation of Abscess
Healing by fibrosis or mammillary fistula
What is Mondors Dsz
Variant of Thrombophlebitis affecting the veins of the anterior chest wall
What are the risk factors for Mondors Dsz
Repeated Upper Limb Excercises
Previous surgical procedures or infection in that area.
Clinical features of Mondors Dsz
Pain
Tender firm cord( thrombosed vein)
Grove beside cord in elevated arm
Treatment for Mondors Dsz
Self limiting
Limitation of movement
Fitting Brassiere
Analgesia
Surgical Excision if there’s a mass
What is Gynaecomastia
Benign enlargement if the male breast
Types of Gynaecomastia
Physiologic and Pathologic
Types of Physiologic
Neonatal (bilateral)
Pubertal( unilateral or bilaterally)
Senescence (bilateral)
Location of Gynaecomastia
Subareola
Classification of Gynaecomastia
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
Types of Pathologic Gynaecomastia
Estrogen excess m Testicular tumors, malnutrition, hypothyroidism & hyperthyroidism, liver cirrhosis
Androgen depletion: ACTH deficiency , Klinfelter
Drugs: inhibitors , estrogen increase, idiopathic
Drugs that increase estrogen
Estrogen, marijuana, anabolic steroids, digoxin
Drugs that inhibit Androgens
Cimetidine, Spironolactone, ketoconazole, phenytoin
Idiopathic Drugs Gynaecomastia
TCA’S, Reserpine, Furosemide
Treatment of Gynaecomastia
