Breast- benign Flashcards
What is fat necrosis
Painless, hard irregular lump that forms in the fatty area of the breast. Associated skin/nipple changes like retraction, dimpling and tethering can occur. Indistinguishable from a cancer.
What causes fat necrosis in the breast
trauma
surgery
What a breast cysts
Benign, fluid filled rounded lump that are not fixed to surrounding tissue and are occasionally painful
Often >1
Who are most likely to get breast cysts
> 35, especially if peri-menopausal
What is the management of breast cysts
- none unless painful
- drain cysts
What are the investigations of breas cysts
mammogram, US possible FNAC to confirm cystic fluid, if blood stained, send fluid for cytology
What are fibroadenomas
Most common, benign lump that is a result of the overgrowth of fibrous and glandular tissue. they are rarely painful
Describe a typical fibroadenoma
- smooth surface
- well circumscribed
- Rubbery/hard
- 1-3 cm
- Highly mobile
- often bilateral am can occur in any part of the breast tissue
Who usually get fibroadenomas
young women 25-35
What is a breast abscess
Tender, hot, erythematous, spherical lump with localised oedema. May have pus coloured discharge from the nipple
Who usually get breast abscess
Woman of child bearing age, 18-50
usually associated with breast feeding
What bug causes breast abscess’
Infiltrating staph auereus
What are montgomery’s tubercles
Seaceous glands in areola around the nipple
Normal finding
may be more prominent in pregnancy
What is fibroadenosis
Fibrocystic changes in the breast leading to painful, tender lumps that fluctuate with the menstrual cycle. (most painful pre-menstrually) They are usually in upper outerquadrant of the breast and there can often be multiple
What do fibroadenomas feel like
Smooth. rubbery, firm texture, oftne bilateral
Sometimes white, clear or green nipple discharge
