breast

Question 1

features of fibroadenoma

Answer 1

mobile, firm breast lump
develop from a whole lobule

Question 2

management of fibroadenoma

Answer 2

if >3cm excision
other wise watch

Question 3

presentation of breast cyst

Answer 3

smooth discrete lumps- most common

require further assessment

Question 4

presentation of fat necrosis

Answer 4

40% have traumatic cause
may mimic cancer: firm, irregular, painless, fixed
need investigating: imaging, core biopsy

Question 5

duct papilloma

Answer 5

nipple discharge- may be blood stained
may also present with mass
discharge usually originates from single duct
management: microdochetomy

Question 6

fibrocystic breast changes

Answer 6

lumpy breasts which may be painful
symptoms worsen prior to menstruation`

Question 7

mammary duct ectasia

Answer 7

dilatation of large breast ducts
common around menopause and in smokers
tender lump around areola
green nipple discharge

Question 8

breast abscess

Answer 8

more common in lactating women
red, hot tender swelling

Question 9

presentation of cyclical mastalgia

Answer 9

varies in intensity with menstrual cycle
pain in breasts

Question 10

presentation of mastitis

Answer 10

painful, tender, red breast
fever and general malaise

Question 11

management of mastitis

Answer 11

first line: continue breastfeeding
analgesia and warm compress
if systemically unwell: abx- flucloxacillin

Question 12

galactorrhoea

Answer 12

nipple discharge response to emotion events, drugs