Breast Flashcards
What age is fibroadenoma common in?
< 30 y/o
Presentation of fibroadenoma
Discrete
Non tender
Highly mobile
What is fibroadenosis?
Fibrocystic disease
Benign mammary dysplasia
Who is fibroadenosis most common in?
Middle aged women
Presentation of fibroadenosis
Lumpy breasts
May be painful
Symptoms may worsen prior to menstruation
Presentation of breast cancer
Hard irregular lump
Nipple inversion
Skin tethering
What is pagets disease of the breast?
Intraductal carcinoma assosiated with reddening and thickening (may resemble eczematous changes) of the nipple/areola
What is mammary duct ectasia?
Dilatation of the large breast ducts
When is mammary duct ectasia most common?
Around menopause
Presentation of mammary duct ectasia
Tender lump around the areola
+/- green nipple discharge
If ruptures may cause local inflammation, sometimes referred as ‘plasma cell mastitis’
Pathology of duct papilloma
Local areas of epithelial proliferation in large mammary ducts
Hyperplastic lesions rather than malignant or premalignant
What may a duct papilloma present with?
Blood stained discharge
Who is fat necrosis more common in?
Obese women with large breasts
What may fat necrosis may follow?
Trivial or unnoticed trauma
Pathology of fat necrosis
Initial inflammatory response, the lesion is typically firm and round but may develop into a hard, irregular breast lump
What may fat necrosis mimic?
Breast cancer
Who is a breast abscess more common in?
Lactating women
Presentation of breast abscess
Red, hot, tender swelling
What is recommended after a women has had a wide local excision?
Breast radiotherapy
What is duct ectasia?
Non malignant breast disease with thick green nipple discharge, occurring with breast involution
What size of a breast fibroadenoma should be removed?
> 3cm
Pagets disease of the nipple is most associated with what?
Invasive ductal carcinoma
TNM staging of inflammatory breast cancer
T4d
Another name for herceptin
Trastuzumab
