Breast Flashcards
Poland syndrome
Absence of muscle of shoulder girdle - pec major and minor and malformation of ipslateral upper limb
Most common: breast hypoplasia
May have: absent ext oblique, serratus anterior, breast, rib defects
Simple mastectomy anatomical boundaries
Superior: clavicle Inferior: IMF Medial: sternum Lateral: LATS Posterior: fascia of pec major mm
Most common bacteria in mastitis
Staph aureus
Streptococcus
**no resolution- inflamm breast Ca
Mondor Dz
Superficial thrombophlebitis of veins of anterior thoracoabdominal wall
Lateral thoracic vein, thoracoepigastric vein, superficial epigastric vein
Treatment Mondor dz
NSAIDS
Stop caffeine, smoking
Most common in outer quad of breast
Most common cause of bloody nipple discharge
Intraductal papilloma
Types of nipple discharge and tx
Green discharge: fibrocystic dz- cyclic and non-spont - reassure
Serous discharge: concerning for CA- esp when spon or only 1 nipple
Spon discharge: CA- ALL pts need biopsy
Tx new breast mass
H&P, US
Mammo >30y
Cyst- aspirate- resolves and non bloody- observe
Solid lesion- core needle bx
Fibroadenoma
Firm, mobile mass
Pain with mensus
Tx: less caffeine
US signs suspicious for malignancy
Irreg shape, uneven boarders
Posterior shadow-solid lesion
Mass taller than wide
Disrupted fascial planes
Mammo findings suspicious for malignancy
Asymmetric density
New mass
Microcalcifications- clustered, stellate pattern, pleomorphic
Non compressible mass on compression views
Biopsy approach for microcalcifications
Stereotactic core needle bx
Histology findings on core needle that require biopsy
Radial scar Atypical hyperplasia LCIS Discord findings on bx Papillary lesion
Stewart treves synd
Angiosarcoma of arm after radical mastectomy, with chronic lymphedema
Purple nodule on arm
Always involves dermis and subq
Tx: wide excision or amputation
DCIS treatment
Lumpectomy plus radiation
Or
Simple mastectomy
