Benign Pathology Flashcards

1
Q

Name 5 benign breast conditions (NOT inflammatory).

A
  • Fibroadenoma
  • Adenoma
  • Papilloma
  • Lipoma
  • Phyllodes tumour
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2
Q

Which of the benign conditions is most common?

A

Fibroadenoma

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4
Q

Describe the examination findings of a fibroadenoma.

A
  • Highly mobile lesions
  • Well-defined and rubbery
  • Less that 5cm
  • Multiple and bilateral
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5
Q

What is the malignant potential of a fibroadenoma?

A

Very low

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6
Q

What is the treatment for fibroadenoma?

A

Follow up- over 2 years, 30% get smaller

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7
Q

When would you excise a fibroadenoma?

A
  • 3cm+

- Patient preference

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8
Q

What is an adenoma?

A

Benign glandular tumour

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9
Q

Describe the examination findings of an adenoma.

A
  • Nodular

- Mimic malignancy

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10
Q

How is adenoma treated?

A

2ww for triple assessment

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11
Q

What is a papilloma?

A

Benign intra-ductal condition

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12
Q

Describe the examination findings of a papilloma.

A
  • Typically sub-areolar
  • Clear or bloody discharge
  • Only larger papilloma present as a mass
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13
Q

What does a papilloma look like on imaging?

A

Like a ductal carcinoma- requires biopsy to differentiate

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14
Q

What is the treatment of papilloma?

A
  • Some cases excised to ensure no atypical cells remain
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15
Q

Which cases of papilloma have a breast cancer risk, and how are they treated?

A

Multiductal papilloma- microdochectomy

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16
Q

What is a lipoma?

A

Benign adipose tumour

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17
Q

How will a lipoma present?

A
  • Soft and mobile lump

- Otherwise asymptomatic

18
Q

What is the malignant potential of a lipoma?

A

Low- only removed if causing symptomatic or aesthetic issues

19
Q

What are phyllodes tumours?

A

Fibroepithelial tumours- epithelial and stromal tissue

20
Q

How do phyllodes tumours present?

A
  • Like fibroadenomas- highly mobile and well-defined

- Grow very fast

21
Q

What is the malignant potential of a phyllodes tumour?

A
  • High - a third have malignant potential
22
Q

How are phyllodes tumours treated?

A

Wide local excision to prevent recurrence

24
Q

What is a fibroadenoma?

A
  • Proliferation of stromal and epithelial tissue of duct lobules
25
Q

Which lumps are more common in older women?

A
  • Adenomas

- Phyllodes tumours

26
Q

Which lumps are more common in women 40-60?

A
  • Papilloma (40-50)

- Lipoma (40-60)

27
Q

Which lump is most common in women of reproductive age?

A

Fibroadenoma