Benign Breast Lumps

Question 1

What is a fibroadenoma?

Answer 1

solid benign breast lesion

Question 2

What is periductal mastitis?

Answer 2

When ducts under nipple become inflamed and infected

Question 3

What is duct ectasia?

Answer 3

lactiferous duct becoming blocked

Question 4

What is sclerosis adenosis?

Answer 4

Benign proliferation of terminal duct lobular units

Question 5

What is epithelial hyperplasia?

Answer 5

proliferation of cells lining ducts or lobules

Question 6

What is fat necrosis?

Answer 6

damage of fatty breast tissue following surgery or trauma

Question 7

What is duct papilloma

Answer 7

small benign tumour forming in ducts

Question 8

How does breast fibroadenoma present?

Answer 8

mobile firm breast lump

Question 9

What risks do breast fibroadenoma have?

Answer 9

none! no increase in risk of malignancy

Question 10

What is rx of fibroadenoma?

Answer 10

> 3cm surgical excision

Phyllodes tumour - wide excision

Question 11

What is rx of breast cysts

Answer 11

aspiration

Question 12

When should breasts cysts be biopsied or excised?

Answer 12

if blood stained or persistently refill

Question 13

What group of women are breast abscess more common?

Answer 13

lactating

Question 14

What is the usually causative organism of breast abscess?

Answer 14

staph aureus

Question 15

How do abscesses present?

Answer 15

red hot tender swelling

Question 16

What is rx of abscesses?

Answer 16

incision, drainage and abx

Question 17

How does duct ectasia present?

Answer 17

Greenish discharge

Question 18

What is periductal mastitis associated w

Answer 18

smoking

Question 19

How does sclerosing adenosis present?

Answer 19

breast lump or change

Question 20

Why might doctors be worried if they came across sclerosing adneosis? why shouldn’t they be?

Answer 20

mammographic changes mimic cancer

NO increase in malignancy risk!

Question 21

How should sclerosing adenosis be managed/

Answer 21

biopsy

Question 22

how can epithelial hyperplasia present?

Answer 22

variable

generalised lumpiness to discrete lump

Question 23

What is management of fat necrosis?

Answer 23

imaging and core biopsy

Question 24

How does duct papilloma present?

Answer 24

nipple discharge

if large - mass

Question 25

Do duct papillomas have an increased risk of malignancy/

Answer 25

no

Question 26

What is rx of duct papilloma?

Answer 26

microdocectomy

Question 27

What is benign mammary dysplasia?

Answer 27

Pre-menstrual breast nodularity and pain often in upper outer quadrant