Breast Flashcards
1
Q
Lecturer?
A
Helen sweet land
2
Q
Most common breast complaint?
A
Lump -70%
Pain - 30%
Nipple discharge - 2%
3
Q
Normal structure?
A
Add pic
4
Q
Wist does ANDI mean?
A
Aberrations of normal development and involution
5
Q
Bening changes?
A
ANDI Fibrocystic change Fibroadenoma Phylloxera tumour Cysts Sclerosing adenosis/radial scar
6
Q
Triple assessment?
A
Examination and history
Radiological imaging
Histology - core or fine needle
7
Q
Fibroadenoma
A
Early 30s Well defined Smooth edge Mobile Firm Histo- fibrous stroma with glandular elements
8
Q
Breast cysts?
A
30s around menopause Tender and sudden Resolve spontaneously Multiple Diagnosis confirmed by us and aspiration
9
Q
Phyllodes tumour
A
45 years Rapidly enlarge may ulcer 5-6cm Well circumscribed with soft fleshy mass Fibro-epithelial Tumor stroma predominates Mitosis may be present Needs excision May recur
10
Q
Other bening lumps?
A
Fat necrosis
Galactocoele
Lipoma
11
Q
Multiple nipple discharge?
A
Duct ectasia
12
Q
Profuse milk discharge?
A
Prolactinoma
13
Q
Single duct?
A
Intraduct papilloma
14
Q
Is pagets nipple signs of an underlying carcinoma? Describe it’s histology
A
Yes.
Pagetoid spread intra epithelial infiltration by malignant cells
15
Q
Signs of breast cancer?
A
Lump Skin dimples Nipple inversion Pagets Peau d'orange Axillary mass Metastatic disease
