Benign breast lumps Flashcards
What are fibrocystic breast changes?
Fibrocystic breast changes are normal changes that cause lumpiness in the breast
What is the aetiology of fibrocystic breast changes?
The cyclical effects of hormones such as progesterone and oestrogen lead to chronic proliferative changes, and the formation of small cysts
Which women are fibrocystic breast changes common in?
Common in women aged 20 to 50
When are symptoms of fibrocystic breast disease typically worst?
Symptoms are worst in the week before menstruation
What are the differentials of fibrocystic breast changes?
Fibroadenoma
Breast cancer
Breast cysts
Mastitis/breast abscess
What are the symptoms of fibrocystic breast changes?
Bilateral lumpy breasts
Breast pain
Symptoms that worsen in the week before menstruation
What are the investigations for fibrocystic breast changes?
Mammogram
Ultrasound
Biopsy
What is the management of fibrocystic breast changes?
Soft and well fitting bra
Analgesia
Reassurance about symptoms resolving post-menopause
What is cyclical mastalgia?
Breast pain that occurs in the weeks leading up to menstruation and improves once menstruation begins
What is the difference between cyclical mastalgia and fibrocystic breast changes?
In both conditions, symptoms are worst in the weeks leading up to menstruation
In cyclical mastalgia there are no nodules throughout the breast - examination is normal
What are breast cysts?
Benign, individual fluid filled lumps
When do breast cysts typicall occur?
30-50 years of age
What is the most common cause of breast lumps?
Breast cysts
What are the features of breast cysts on examination?
Smooth
Well-circumscribed
Mobile
Possibly fluctuant
What is fat necrosis of the breast?
A benign breast lump caused by localised degeneration and scarring of fat tissue in the breast
