Breast Benign Pathology Flashcards
What makes up the triple assessment of breast examination?
Clinical
Imaging
Pathology
What are the grades of breast FNA cytology?
C1 - unsatisfactory C2 - Benign C3 - Atypia, probably benign C4 - Suspicious of malignancy C5 - Malignant
What are the grades of breast needle core biopsy?
B1 - unsatisfactory/ normal B2 - Benign B3 - Atypia, probably benign B4 - Suspicious of malignancy B5 - Malignant B5a - carcinoma in situ B5b - invasive carcinoma
What are some benign developmental abnormalities of breast?
Hypoplasia
Juvenile hypertrophy
Accessory breast tissue
Accessory nipple
What are some non-neoplastic breast diseases?
Gynaecomastia Fibrocystic change Hamartoma Fibroadenoma Sclerosing lesions
What are inflammatory benign breast conditions?
Fat necrosis
Duct ectasia
Acute mastitis/ abscess
What are 2 benign tumours of the breast?
Phyllodes tumour
Intraduct papilloma
What is gynaecomastia?
Breast development in male
Ductal growth without lobular development
What are causes of gynaecomastia?
Stimulation of oestrogen e.g. exogenous/ endogenous hormones cannabis prescription drugs liver disease
Age group that get fibrocystic change?
Majority age 40-50
Presentation of fibrocystic change?
Smooth discrete lumps
Sudden pain (if cyst ruptures)
Cyclical pain
Lumpiness
What other benign condition might fibrocystic change be associated with?
Sclerosing adenosis
What is the management of fibrocystic change?
Exclude malignancy
Excise if necessary
What is a hamartoma?
Circumscribed lesion
Composed of tissue normally found in breast but in abnormal proportion or distribution
What ethnic group more commonly get fibroadenomas?
African women
What age group is the peak incidence of fibroadenomas?
3rd decade
What are the clinical features of fibroadenoma?
Painless, firm, discrete mobile mass
Breast mouse - moves away from examining fingers