Breast Flashcards
Concerning sx of nipple discharge
unilateral
clear
serous
bloody or
occurs spontaneously
-more likely to be associated with cancer
Benign sx of nipple discharge
bilateral
multiductal
milky or green in color
occurs with breast manipulation
What is galactorrhea
bilateral discharge that occurs in women who have not been pregnant or lactating within the last 12 months and is not caused by breast disease.
Galactorrhea associated with:
prolactin-secreting pituitary adenomas
medications that inhibit dopamine
psychotropic medications
COCs
metoclopramide (Reglan)
phenothiazines
hypothyroidism
breast stimulation
trauma
herpes zoster
Intraductal papilloma
a benign tumor of the lactiferous ducts
uniductal
bloody
Fibrocystic changes in breast
associated with hormonal stimulation
-rare in postmenopausal women
Presentation of fibrocystic breast changes
asymptomatic
pain or tenderness
bumpy areas through the breast tissue that fluctuate with the menstrual cycle
Clinical findings for fibrocystic breast changes
symmetrical nodularity
nodularity more prominent in the upper outer region of the breast
consistency described like “a bag of beans”
may feel firm or rubbery, but not rock hard
the cystic portion may feel like grapes
Management of fibrocystic changes
expectant watchful waiting
aspiration of large or painful cysts
Rx of COCs
Characteristic of breast cyst
tenderness
smooth
round
oval
mobile
fluid-filled masses with
well-described borders
develop from terminal breast lobules
Characteristics of Fibroadenoma
nontender
firm or rubbery consistency
mobile
well-circumscribed
malignant breast lump
fixed
gritty
non-tender
characteristics of breast lipoma
soft
discrete
nontender
Potential cause of Galactorrhea
Opioid use
