Breast Flashcards
Benign breast disease
fibroadenoma breast cysts mastitis lactational breast abscess intraductal papilloma radial scar fat necrosis fibroadenosis
fibroadenoma
benign tumours of fibrous and epithelial tissue which arise from lobule.
Highly mobile, encapsulated breast masses that arise from breast lobule storm.
Fibroadenoma management
triple assessment: rule out cancer
surgical excision
will regress after menopause if conservatively managed
breast cysts
overgrowth of glandular and connective tissue in fibrocystic disease. blocks breast ducts leading to filling of lobules with fluid and distension
mastitis
inflammation of breast
mastitis management
continue breastfeeding
analgesia
lactational breast abscess
infectious mastitis may lead to accumulation of pus in the area of the breast, which can lead to development of abscess.
Most common cause: staph aureus
management of lactational breast abscess
early referral to secondary care
incision and drainage or needle aspiration
concomitant ABs
intraductal papilloma
benign papillary tumour
Commonly presents as bloody discharge from nipple
radial scar
benign sclerosis breast lesion
fat necrosis
inflammatory reaction to adipose tissue damage
fibroadenosis
inflammation, fibrosis, cyst formation of adenosine of breast.
mote common in upper outer quadrant
Worsens with menstrual cycle
Mammary duct ectasia
palpable peri-areolar breast mass caused by inflammation & dilation of Brest ducts
Presents with thick, white nipple discharge
indications for urgent referral to breast assessment clinic
Aged >30 with unexplained breast mass
Aged >50 presenting with nipple discharge, retraction or other concerning symptoms
histological subtypes of breast cancer
ductal carcinoma
lobular carcinoma
medullary carcinoma
phyllodes tumour
