Benign Breast Masses

Question 1

the most common breast masses. are

Answer 1

Fibroadenoma, fibrocystic changes, galactocele, and fat necrosis

Question 2

Fibrocystic
changes CxFx,
increases with

Answer 2

Cyclical breast pain:
increases with approach
of menses, returns to baseline once menstruation starts

Question 3

Fibrocystic changes Physical findings

Answer 3

Nodular tissue bilaterally
Diffuse tenderness
Mass not discrete or
well defined

Question 4

Fibrocystic changes Diagnosis

Answer 4

Physical exam

Question 5

Fibrocystic changes Management

Answer 5

Observation

Question 6

Fibroadenoma Pathophy, distribution (%), worst and better with?

Answer 6

Benign solid tumors with
glandular and fibrous tissue
20% bilateral
May increase in size with pregnancy and decrease with menopause

Question 7

Fibroadenoma Physical findings

Answer 7

Well-defined mobile mass

Question 8

Fibroadenoma Diagnosis

Answer 8

Ultrasound

Definitive diagnosis with core needle biopsy

Question 9

Fibroadenoma Management

Answer 9

Observation with repeat
ultrasound 3–6 months
Excise if increases in
size to rule out malignancy

Question 10

Fat necrosis Etiology

Answer 10

Results from breast trauma or surgery

Question 11

Fat necrosis Physical findings

Answer 11

Clinically detected hard lump

May be confused with malignancy (can have nipple retraction)

Question 12

Fat necrosis Diagnosis

Answer 12

Mammogram

Question 13

Fat necrosis Management

Answer 13

Observation

self-limiting

Question 14

Intraductal papilloma patho

Answer 14

Papillary cells growing into cyst lumen

Question 15

Intraductal papilloma Physical finding/Cxfx

Answer 15

Bloody nipple discharge

Question 16

Intraductal papilloma Diagnosis

Answer 16

Core needle biopsy

do not show up on mammography due to their small size

Question 17

Intraductal papilloma Management

Answer 17

Surgical excision to

rule out hidden cancer

Question 18

Mastitis Etiology

Answer 18

Prolonged engorgement
in breastfeeding women or
inflammation in nonbreastfeeding women

Question 19

Mastitis Physical findings

Answer 19

Painful, swollen, erythematous breast(s)

Question 20

Mastitis Diagnosis

Answer 20

Cultures

Question 21

Mastitis Management

Answer 21

Cover for S. aureus: dicloxacillin or cephalexin

Question 22

Breast abscess Etiology

Answer 22

Localized collection of pus in breast tissue

Question 23

Breast abscess Physical findings

Answer 23

Fluctuant, tender,
palpable mass with
fever and malaise

Question 24

Breast abscess Management-Diagnosis

Answer 24

Needle aspiration, surgical drainage, and antibiotics (dicloxacillin or cephalexin)

Question 25

Management for Breast abscess If MRSA

suspected:

Answer 25

TMP-SMX or clindamycin