breast

Question 1

inc size of breast, hard non-compressible lump tethered to underlying tissue, skin changes (armpit thickening, peu d’orange)

Answer 1

Breast cancer

Question 2

lumpy breasts, well demarked lumps, clear nipple discharge, mobile and fluctuant

Answer 2

breast cyst

Question 3

sub areolar mass, nipple inversion, thick green nipple discharge, tender and fixed

Answer 3

duct etasia

Question 4

single well remarked, firm smooth mobile lump, painless

woman in 20s-30s

Answer 4

fibroadenoma

Question 5

generalised swelling of breast, nipple may be cracked, redness, very tender, flu like prodrome

Answer 5

mastitis

Question 6

neck lump that moves on swallowing - likely associated with_____

Answer 6

thyroid gland

Question 7

neck lump that moves on tongue protrusion

Answer 7

thyroglossal cyst

Question 8

RF for breast cancer

Answer 8

age, Fhx, obesity,
inc oestrogen exposure (early menarche, late menopause, HRT)
nulliparity

Question 9

where does breast C met to

Answer 9

liver, lung and bones

Question 10

medical management of breast cancer

Answer 10

ER antag (tamoxifen)
aromatase inhib (letrozole)
monoclonal ab

Question 11

management of mastitis

Answer 11

if lactational - encourage breast feeding

abs + antibiotics

Question 12

most common cause of mastitis

Answer 12

staph aureus, enters through cracked nipple