Breast Flashcards
From what does a breast abscess arise?
Severe mastitis
What organism is most common in breast infection?
Staph aureus
What usually causes mastitis?
Milk stasis during lactation
What would be the treatment of a breast abscess?
- Antibiotics e.g. flucloxacillin or erythromycin
- Incision and draining of abscess
- Needle aspiration of abscess every other day
Should lactating women with a breast abscess continue to breastfeed?
Yes
How common is fibrocystic disease amongst women of childbearing age?
50%
How does fibrocystic disease of the breast present?
- Lumpiness and tenderness
- itchy nipples
What kind of trend do the symptoms of fibrocystic disease follow?
Periodic trend of the menstrual cycle
Usually worse before period
What does the breast look and feel like on examination of fibrocystic disease?
- lumpy, cobblestone appearance
- smooth lumps with defined edges that are moveable
- most commonly in upper, outer sections of breast
What investigations would you do on someone presenting with fibrocystic disease (depending on their age)?
- Mammography for older patients
- Ultrasound for younger patients
What is thought to cause fibrocystic disease?
Hormone levels - oestrogen, progesterone, prolactin
These hormones cause breast cells to grow and multiply
Fluctuations of hormones over years cause small cysts and dense tissue
What is a ductal papilloma?
A benign growth that occurs in breast ducts with finger-like fronds that can block the duct
Which type of ductal papilloma is more common near menopause?
Central type - near nipple and solitary
Which type of ductal papilloma is more common in younger women
Peripheral type
Which type (central or peripheral) of ductal papilloma has higher risk of malignancy?
Peripheral type
