Breast

Question 1

Duct ectasia defintion

Answer 1

Ducts widen and walls thicken. A/w pain, nipple inversion, green/brown d/c

Question 2

Duct ectasia Mx

Answer 2

Conservative usually suffices (supportive bra, nipple hygiene)
Mammogram/USS to exclude sinister causes
Abx if infected
Duct can be excised if Sx persistent/impactful

Question 3

Duct ectasia Cx

Answer 3

infection - Abx (abscess needs drain)
Mastitis
Fistulation - duct excision (if wide will leave areola scar)`

Question 4

Duct ectasia prognosis

Answer 4

Benign disease. NO increased malignancy risk
Severity variable - determines management
Survival not affected

Question 5

Duct papilloma Mx

Answer 5

Biopsy on lump to determine ?cancer
Surgical excision and complete removal of tumour (bc of possiblity of upgrade to atypical ductal hyperplasia or DCIS on full specimen histology)

Question 6

Duct papilloma Cx

Answer 6

No significant ones
Post-op: bleeding, infection, pain, fat necrosis, cosmetic deformity
Risk that core biopsy missed some cancer in the papilloma

Question 7

Duct ectasia Prognosis

Answer 7

90% are without atypia (1.3% invasive cancer, 2.7% DCIS)

Local recurrence is low risk at 2%