Breast Flashcards
What is a Fibroadenoma?
Benign neoplasm of a lobule, arising from stroma dna glandular epithelium.
Common in women of child-bearing age
How would you describe a typical Fibroadenoma?
Single well demarcated lump, 1-5cm in diameter.
Firm and Smooth
Commonly Painless
Mobile
How would you describe typical Breast Cysts?
‘Lumpy Breasts’
Well demarcated
Clear nipple discharge may be seen.
Painless
Transilluminable
Fluctuant and Mobile
How does Duct Ectasia typically present?
Sub-Areolar Mass with Nipple Inversion
Firm
Thick, yellow-green discharge.
Tender
Fixed
How should you investigate a non-cancerous breast lump?
USS/Mammography
Fine Needle Aspiration (Cyst)
Core Biopsy (FIbroadenoma)
How should you manage a Fibroadenoma, Breast Cyst or Duct Ectasia?
Observe
Surgical Excision
FNA (Cyst)
What is Fat Necrosis of the breast?
Painful, irregular, hard lump with overlying bruising occuring secondary to Trauma.
What is Intraductal Papilloma?
Benign Neoplasm growing within the ducts of the breast.
Bloody/clear nipple discharge.
Small, subareolar mass
What is Mastitis and what typically causes it?
Inflammation of the breast tissue.
Milk Stasis/ Over-Production
What may occur if Mastitis is left untreated?
A breast abscess may form, due to infection.
Staph aureus
What are the symptoms of a Breast Abscess?
Swelling
Redness, firmness
Very tender + warm to the touch
Flu like symptoms
How would you manage a suspected Breast Abscess?
IV/Oral Abx
US Guided Fine Needle Aspiration
FBC + Blood Cultures
Surgical Incision and Drainage
How would you manage a case of Mastitis?
If lactational, encourage breast feeding.
Analgesia.
Abx sometimes.
What are the main complications of Breast Abscesses?
Mammary Fistula
Overlying skin may undergo necrosis
What is the most common type of Breast Cancer?
Invasive Ductal Carcinoma
