breast Flashcards
whichquadrant have the axillary tail?
upper outer has the axillary tail called
axillary tail of spence
which quadrant has more glandular tissue
the upper outer
whats the cause go the extra-breast mastalgia ?
its mondor’s disease phlebitis of the superficial vein
tietz syndrom costochondritis
what the most common secondaries of the breast cancer ?
it the lumber vertebrae by bastion plexus
what’re the axillary lymph group ?
ant part and medial is most common
while post and med is rare
interpctoral rotter lymph node
apical
slit like nipple
ductesisa
and chronic periductal mastitis
circumfincial nipple retraction
cancer
nipple cracke
lactation and infection
nipple papilloma
tied up with ligature and spountasly fall off
whats the cyclical mastalgia ?
it occur before the ease and just decrease with the mesne it happen to 2/3 of women
the cause: may be from the estrogen because it causes the fluid retention
character of the pain: is bilateral heaviness
site in the upper outer quadrant
age group: is 3rd and 4th decade
whats the non cyclical mastalgia ?
its affect 1/3 of women
its affect the: menopause so its affecting the elderly
the character of the pain: is unilateral and burning localize pain affect one quadrant
cause: underlying pathology of the breast - large cyst as fiberocyctic diseases - peri ductal mastitis - breast abccess - engorgment of the breast during lactation
How to manage the mastalgia ?
مهمه
1- reassurance by making investigation and examination to exclude the malignancy
2- wear proper and well fit bra to support the breast
3 - avoid the caffeine ,chocolate ,tea and alcohol and fat
4-primrose oil at the evening
5- Daily pain chart to record when the severity of the pain
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6- estrogen receptor blocker asTamoxifen 90% success after 6month of usage
7- synthetic androgen which bind androgen and progetron receptor Danazol 75%for the cyclical and 30% for the non cyclical
8- prolactin inhibitors Bromocriptin
9- NSID
10- surgery
what’re the causes of the extramammry mastalgia ?
teiz syndrom and mondor disease
طيز منذر
whats the intarductal papilloma ?
its benign tumer of the duct (lactiferous duct )
it affect the women from 40-45
whats the main clinical feature of the intarductal papilloma?
- bloody nipple discharge spountously or serous discharge
- the size of the papilloma may range from 2-5mm not plaple the 4-5cm in the nipple office area
whats the diffuse hypertrophy of the breast?
its happen during the puberty and after the first pregnancy
because of the sensitivity to the estrogen and art is anti estrogen or mammoplasty
fibroadenoma
its benign capsulated tumer that caused by the hyperplasia of the lobules
affecting the young female (15-25)
size is less than 2cm but if it reach to 5cm it could taint fiberoadenoma
whats the features of the fibroadenoma ?
-painless non tender swelling in one quadrant of the breast move like the mouse
its firm (as the nose )
- no LN involvement
- female is young from (15-25)
whats the phyllois tumer ?
- its capsulated tumer range from benign 75% to malignint 15% if it malignant its sarcoma to the lung or bone
- affect female from (30-50)
How the phylloid tumer is grossly and microscopicaly seen ?
gross / large capsulated tumer with rapid growth with cystic space when cat it show soft brownish cystic space
micro/ its has cystic space as leaf
whats the clinical features of the phylloid tumer ?
- age from 30-50
- swelling is. smooth unilateral non tender and the tumer is capsulated rapidly grow large bosselted
- skin is with necrosis and skin is stretch and with dilated vein
- tumer is warm not fixed no nipple retraction no LN involvement
