Breast

Question 1

Who is most likely to get a breast abscess?

Answer 1

Women, ages 18-50 yrs, breastfeeding

Question 2

Features of breast abscess?

Answer 2

Redness
Pain
Hot to touch
Swelling
Fevere

Question 3

Investigation for breast abscess?

Answer 3

USS to show fluid level

FNA

Question 4

Treatment of breast abscess?

Answer 4

Abx

Incision and drainage

Question 5

What percentage of women aged 30-50 undergo fibrocystic change?

Answer 5

50%

Question 6

Features of fibrocystic disease?

Answer 6

Pain
Redness
Nipple changes
Discharge

Question 7

Investigations for fibrocystic disease?

Answer 7

USS with biopsy to rule out cancer

Question 8

Treatment of fibrocystic disease?

Answer 8

Conservative (pain relief, cut down caffeine)

Question 9

Most common age for ductal papilloma?

Answer 9

35-55 yrs

Question 10

Features of ductal papilloma?

Answer 10

Blood stained nipple discharge
Breast enlargement
Lumps

Question 11

Investigations of ductal papilloma?

Answer 11

USS/mammogram (depending on age)
Biopsy
Microscopy of discharge

Question 12

Treatment for ductal papilloma?

Answer 12

Excision of tumour and affected duct

Question 13

Risk factors for breast carcinoma?

Answer 13

Family history (BRCA)
OCP, HRT
Early menarche, late menopause
Obesity, alcohol

Question 14

Two protective factors for breast carcinoma?

Answer 14

Breast feeding

Exercise

Question 15

Skin changes in breast carcinoma?

Answer 15

Tethering, erythema, ulceration, dimpling (peau d’orange)

Question 16

Nipple changes in breast carcinoma?

Answer 16

Destruction/ulceration
Inversion/retraction
Erythema (Paget’s)
Discharge

Question 17

Other features of breast cancer?

Answer 17

Pain (10%)
Palpable lump (irregular, hard, non-mobile)

Question 18

Investigations for breast carcinoma?

Answer 18

Triple screening:

1. History and exam
2. Imaging (mammography/USS depending on age)
3. FNA/core biopsy

Question 19

Treatment of breast carcinoma?

Answer 19

Chemotherapy
Radiotherapy
Surgery (mastectomy)