Breast Flashcards
treatment of breast pain
reassurance
supporting bra
NSAID gel
evening primrose oil
nipple discharge important questions
unilateral/bilateral
duration/timing
character
spontaneous/expressed
other symptoms
paget’s diagnosis and management
to diagnose = punch biopsy
to manage = breast conservation surgery and removal of nipple areolar + radiotherapy
what is granular cell tumour?
neoplasm arising from Schwann cell
management of granular cell tumour
biopsy and local excision with clear margin
granulomatous lobar mastitis presentation and investigation
firm, irregular mass, tender
ix: core biospy
management of granulomatous lobar mastitis
avoid excision as poor healing
steroid and immunosuppressent
breast cancer RFs
no children
birth at older age
HRT/birth control
obesity
late menopause
age
when to do an MRI to investigate breast cancer?
if <40 and USS, MRI if biopsy proven breast Ca
if lobular Ca
management of breast abscess
- USS guided aspiration with abx and reassess in 48 hrs
- incision and drainage (only if overlying skin necrosis)
what is intraductal papilloma of breast?
local area of epithelial proliferation in large mammary ducts
screening for breast cancer
mammogram 43-73 every 3 years
what is the lymphatic drainage of breast?
75% to lateral axillary nodes
25% to parasternal nodes and opposite breast
breast 2 ww criteria
> 30yo, unexplained breast lump
50yo, any breast changes
when to consider a 2ww
skin changes suggestive of breast cancer
>30y unexplained lump in axilla
