Breast

Question 1

Breast Cyst

Answer 1

Common >35yrs
Especially perimenopausal

Benign fluid filled rounded lump

Not fixed to surrounding tissue

Occasionally painful

Fluctuant

May resolve or aspirate (diagnosis confirmed on examination)

Question 2

Ductal disease

Answer 2

Duct Ectasia

Typically around menopause

Ducts become blocked and secretion is stagnant

Present with nipple discharge (green/brown/bloody) + or - nipple retraction + or - lump

Refer for confirmation of diagnosis and usually no treamtent needed.

Question 3

Fibroadenoma

Answer 3

Usually presents in <30 yrs but can occur up to menopause

benign growth

firm
mobile
painless, smooth, well defined. may be multiple

1/3 regress
1/3 stay the same
1/3 get bigger

Observation and reassurance, but in doubt refer for USS (and FNA)
Surgical excision if large

Question 4

Fine needle aspiration

Answer 4

Diagnostic procedure used to investigate lumps or masses.

Indications: cysts, nodes or masses, enlarged lymph nodes

Complications: bleeding, infection rare

Question 5

Mastitis/breast abscesses

Answer 5

Mastitis -Inflammation of breast tissue

Painful, erythematous, hot swelling

Antibiotics and open incision or percutaneous drainage if abscess.

Question 6

Acute Mastitis

Answer 6

lactating lady

Question 7

Periductal Mastitis

Answer 7

smoker non lactating lady

Question 8

Breast abscess

Answer 8

febrile, painful

hot, red swelling

Question 9

Breast cancer

Answer 9

painless, immobile, irregular hard lump, peau orange, axillary lymphadenopathy