benign breast tumours

Question 1

what is a fibroadenoma?

Answer 1

most common benign growth in the breast

usually in women of reproductive age

on examination

• highly mobile
• well defined and rubbery
• usually <5cm
• can be multiple and bilateral

potential excision if over 3cm

usually doesn’t increase risk of breast cancer but if a complex fibroadenoma, It will.

Question 2

what is an adenoma?

Answer 2

a ductal adenoma is a benign glandular tumour, usually in older female population

nodular and can easily mimic malignancy

Question 3

what is an intraductal papilloma?

Answer 3

benign breast condition, usually in women ages 40-50.

often present with bloody or clear nipple discharge.
appear similar to ductal carcinomas, on imaging and therefore usually require biopsy.

can be treated with microdochectomy.

Question 4

what is a lipoma?

Answer 4

soft and mobile benign adipose tumour that are otherwise asymptomatic. have a low malignant potential and only removed if significantly large or causing symptomatic compressive or aesthetic issues.

Question 5

what is a Phyllodes tumour?

Answer 5

rare fibroepithelial tumours
occur in older ages, comprised of both epithelial and stromal tissue.

should be widely excised or mastectomy is lesion is large

Question 6

what are the clinical features of benign breast tumours?

Answer 6

generally

• mobile
• smooth borders

unlike malignant counterparts which have craggy surfaces, firmer consistency and can be fixed to different layers of tissue.

all suspicious lumps should undergo triple assessment