Breast

Question 1

Common lump in women under 30:

Discrete, non-tender and highly mobile lumps:

Answer 1

Fibroadenoma

Question 2

Lumpy breasts which may be painful - symptoms may worsen prior to menstruation:

Answer 2

Fibroadenosis or fibrocystic disease, Benign mammary dysplasia

Question 3

Characteristically a hard, irregular lump. May be associated with skin tethering

Answer 3

Breast Cancer :(

Question 4

Reddening and thickening (eczematous) of the skin/areola/nipple

Answer 4

Paget’s disease - associated with intruductal carcinoma

Question 5

Menopausal woman with dilatation of large breast ducts. Presents with tender lump around the areola with green nipple discharge/
if rupture causes local inflammation it may be referred to as plasma cell mastitis

Answer 5

Mammary duct ectasia

Question 6

Blood stained nipple discharge

Answer 6

Duct Papilloma

Question 7

_________ is local areas of epithelial proliferation in large mammary ducts. Hyperplastic lesions rather than malignant/hypermalignant

Answer 7

Duct pappiloma

Question 8

Firm and round hard irregular breast lump. In an obese women with big breasts, following trauma -

Answer 8

Fat necrosis

p.s mimic breast cancer - hence always investigate!

Question 9

Red, hot, tender swelling in a lactating woman

Answer 9

Breast abscess

Question 10

Hard painless, palpable lump usually in the upper outer quadrant of the breast

Answer 10

Invasive Ductal Carcinoma

Question 11

Mass with fine spikes, radiating from the edges?

Answer 11

Invasive ductal carcinoma

Question 12

Ductal carcinoma that invades the nipple

Answer 12

Paget’s disease of the nipple

Question 13

MULTIFOCAL subtle thickening of the upper outer section of breast

Answer 13

Invasive lobular carcinoma

Question 14

Agressive breast cancer - that is erythematous, oedematous, orange peely skin with no fever? One breast might be bigger than the other. Can imitate Mastitis but antibiotics provide no relief

Answer 14

Inflammtory breast cancer

Question 15

Fast growing, large firm mass

Answer 15

Phyllodes tumour

Question 16

Young woman with a Round Rubbery Mobile mass that may enlarge with the menstrual cycle. Non-tender?

Answer 16

Fibroadenoma

Question 17

Common presentation: Cyclical breast pain - Epithelial Hyperplasia without atypia

Answer 17

Fibrocystic Changes

Question 18

Bloody (or creamy) nipple discharge

Answer 18

Intraductal carcinoma

Question 19

transulecent mass in breast feeding women?

Answer 19

Galactocoele

Question 20

34 year old women presents with pain and tender breast. The lump seems to fluctuate in relation to her period and is worse on Day 25 of her cycle.

Answer 20

Mammary dysplasia/Fibroadenosis/Fibrocystic disease

Question 21

24 year old presents with painless lump in breast. It is firm smooth and mobile. It has seemed to double in size since last month

Answer 21

Fibroadenoma

Question 22

Nipple bleeding, Blood stained discharge

Answer 22

Duct papilloma

Question 23

Tender lump near Areola. Toothpaste like discharge

Answer 23

Mammary duct ectasia

Question 24

Recommendation for Radiotherapy after Mastectomy:

1. Tumour >___ in diameter
2. Axillary node involvement of >_ nodes
3. Positive or close tumour margins

Answer 24

1. Tumour >4cm in diameter
2. Axillary node involvement of >3 nodes
3. Positive or close tumour margins