Benign Breast Lumps Flashcards
What is a fibroadenoma?
solid benign breast lesion
What is periductal mastitis?
When ducts under nipple become inflamed and infected
What is duct ectasia?
lactiferous duct becoming blocked
What is sclerosis adenosis?
Benign proliferation of terminal duct lobular units
What is epithelial hyperplasia?
proliferation of cells lining ducts or lobules
What is fat necrosis?
damage of fatty breast tissue following surgery or trauma
What is duct papilloma
small benign tumour forming in ducts
How does breast fibroadenoma present?
mobile firm breast lump
What risks do breast fibroadenoma have?
none! no increase in risk of malignancy
What is rx of fibroadenoma?
> 3cm surgical excision
Phyllodes tumour - wide excision
What is rx of breast cysts
aspiration
When should breasts cysts be biopsied or excised?
if blood stained or persistently refill
What group of women are breast abscess more common?
lactating
What is the usually causative organism of breast abscess?
staph aureus
How do abscesses present?
red hot tender swelling
What is rx of abscesses?
incision, drainage and abx
How does duct ectasia present?
Greenish discharge
What is periductal mastitis associated w
smoking
How does sclerosing adenosis present?
breast lump or change
Why might doctors be worried if they came across sclerosing adneosis? why shouldn’t they be?
mammographic changes mimic cancer
NO increase in malignancy risk!
How should sclerosing adenosis be managed/
biopsy
how can epithelial hyperplasia present?
variable
generalised lumpiness to discrete lump
What is management of fat necrosis?
imaging and core biopsy
How does duct papilloma present?
nipple discharge
if large - mass
Do duct papillomas have an increased risk of malignancy/
no
What is rx of duct papilloma?
microdocectomy
What is benign mammary dysplasia?
Pre-menstrual breast nodularity and pain often in upper outer quadrant
