Breast Flashcards
What Causes a Breast Abscess?
Mastitis / Plugged Milk Ducts
Abscess Presentation
Pain, Swelling, Redness, Heat, Fever, Exudate
Abscess Risk Factors
Smoking, Diabetes, Nipple Piercing
Abscess Investigations
Pus examination, Biopsy, USS, MRI (if recurrent)
Abscess Treatment
Antibiotics, Drainage, Surgery
Who gets Fibrocystic Disease?
> 60% of women, 30-50yrs, Revolves after menopause
What causes Fibrocystic Disease?
Hormonal variation during monthly cycle
As a rule, Fibrocystic disease tends to be …?
Bilateral
When is Fibrocystic Disease at it’s worst?
7-10 days before period
Fibrocystic Disease Risk Factors
High socioeconomic status, Late age of menopause/Early menarche, Hx of benign breast disease
Fibrocystic Disease Presentation
Tenderness, Pain, Nipple itching and Non-Bloody Discharge, Lumps in UOQ
Fibrocystic Disease Investigations
Mammogram, USS, Biopsy
Fibrocystic Disease Treatment
Support bra, Anti-Inflamms, Oral Contraceptives
What is a Ductal Papilloma?
Small, benign breast tumour in milk duct
Ductal Papilloma Presentation
One large lump near nipple or Multiple smaller lumps further away, Nipple Discharge, Pain
Ductal Papilloma Investigations
Mammogram, USS, Biopsy, Discharge, Ductogram
Who gets Breast Carcinoma?
> 50yrs, BRCA1/2, White Women
What percentage of Breast Cancers are inherited?
5-10%
Breast Carcinoma Risk Factors
Alcohol, Family Hx, Overweight, Early period/Late menopause, Oral Contraceptives, Diabetes
What is protective for Breast Carcinoma?
Having a child before 30
Breast Carcinoma Presentation
Lump, Bloody discharge, Inverted nipple, Orange peel skin, Swollen lymph nodes, Painless
Breast Carcinoma Investigations
Mammography, USS, Biopsy
Who is most likely to have multiple lumps in Ductal Papilloma? Is this more difficult to manage?
Younger women
Yes
Over what age do you have a mammogram instead of an USS?
> 35
