Breast 2 Flashcards
When does fibroadenosis affect females?
after puberty and before menopause (in anovulatory periods)
Where is progesterone released from?
The ovaries from corpus luteam when it ruptures
What’s the pathology of fibrocystic disease? (fibroadenosis)
- fibrosis
- adenosis
- cyst formation
- papillomatosis
- epitheliosis
- atypical epithelial hyperplasia
is fibroadenosis precancerous?
NO
except if there is
- marked papillomatosis
- atypical epithelial hyperplasia
What is gynecomastia?
enlargement of male breast due to increase in glandular element
increase in fat element in male breast is called?
Lipomastia
What are the physiological causes of gynecomastia?
- neonatal: high maternal estrogen
- pubertal: hormonal imbalance
- old age: low testicular function
what is the most common cause of gynecomastia?
idiopathic
What drugs could cause gynecomastia?
digitalis
aldactone
cimitidine
How to treat gynecomastia if it’s physiological or idiopathic?
wait for 6 months it may disappear
if the patient demands it, preform surgical interventiom
if a patient presents with a recent onset of gynecomastia, what is the first line of treatment?
search for the secondary cause and treat the underlying cause
a patient presents with unilateral bleeding from 1 duct, what is your diagnosis?
duct papilloma
What causes the retroareolar breast lump causing obstruction in a ductal papilloma?
the retention cyst
What is the treatment of a duct papilloma?
Microdochectomy
What is the most common cause of breast lump is young females?
fibroadenoma