Breast

Question 1

Self breast examination is best done

Answer 1

5 to 7 days after onset of menses

Question 2

prepubertal

Answer 2

stage 1

Question 3

breast bud w/ elevation of breast and papilla; enlargement of areola

Answer 3

stage 2

Question 4

further enlargement of breast and areola

Answer 4

stage 3

Question 5

areola and papilla form secondary mound

Answer 5

stage 4

Question 6

projection of papilla only

Answer 6

stage 5

Question 7

Causes for Nipple retraction:

Answer 7

aging,
duct ectasia,
fat necrosis,
breast cancer

Question 8

causes for Nipple inversion:

Answer 8

scar tissue; short milk duct

Question 9

HX:Painless breast mass 
PE
Nontender, firm or hard lump with poorly delineated margins
Skin or nipple retraction 
Asymmetry

Answer 9

breast cancer

Question 10

H/P
Pain, itching, and/or burning with a superficial erosion or ulceration of the nipple + areola
Palpable mass (50%)

Answer 10

Paget’s Disease of the Breast

Question 11

H/P
Diffuse, brawny edema of the skin of the breast with an erysipeloid border
Erythema, induration > 30% of the breast and peau d’orange < 6 months duration
Warmth and tenderness
NO underlying palpable mass – more common
Axillary lymphadenopathy

Answer 11

Inflammatory Breast Cancer (IBC)

Question 12

H/P
Cyclical breast pain or tenderness
Painful, often multiple, usually bilateral nodular (“cobblestone”), mobile breast masses

Answer 12

Fibrocystic Breast Changes

Question 13

H/P
Cyclical breast pain or tenderness
One or more mobile, soft, tender breast mass/es

Answer 13

Simple Cyst

Question 14

Round, firm, discrete, relatively movable, nontender mass, 1–5 cm in diameter

Answer 14

Fibroadenoma

Question 15

Age of Dx: 45 to 50 yr
H/P
Rapidly growing mass
Smooth, sharply demarcated texture; freely movable
Relatively large in size (average: 5 cm)

Answer 15

Phyllodes Tumor

Question 16

History
Trauma (50%)
Breast procedure (radiation, surgery)
Physical Exam
firm, ill-defined mass 

calcifications from Biopsy

Answer 16

Fat Necrosis

Question 17

H/P
Nipple discharge: thick, grey to green
Less common
firm subareolar mass (scar tiss

Answer 17

duct estasia

Question 18

H/P

Spontaneous/provoked, unilateral, bloody or serosanguinous nipple discharge

Answer 18

Intraductal Papilloma (IDP)

Question 19

Unilateral breast pain and tenderness
Fever, malaise
Erythema usually involves one quadrant
+ Tender ipsilateral axillary lymphadenopathy

Answer 19

Acute mastitis

Question 20

Fluctuance and pitting edema over inflamed area

Answer 20

Breast Abscess

Question 21

H/P
Smooth, soft to firm, mobile, usually non-tender mass
Enlarging mass that later regresses

Answer 21

Galactocele

Question 22

PE: glandular breast tissue that is >4 cm in diameter and often tender

Answer 22

Gynecomastia