Breast conditions (Benign/malignant) Flashcards
Risk factors for breast cancer?
Female Age Alcohol FH Nulliparity
etc etc
Presentation of breast cancer?
Dimpled or depressed skin Visible lump Nipple changes Bloody discharge Texture change Colour change
Commonest type of Breast cancer and presentation?
Ductal carcinoma
Solid mass found by patient
Diagnosis of ductal carcinoma?
Ultrasound helpful in defining solid masses.
Definitive by image guide tissue core needle biopsy
Treatment options for breast cancer?
Breast conserving surgery + Radiation treatment
Modified radical mastectomy–> Breast reconstruction
Adjuvant systemic chemo or hormonal
Features of fibroadenoma?
Palpable mass (rubbery, mobile, smooth)
Early reproductive life
Low levels of increased cancer risk
Diagnosis of fibroadenoma?
Ultrasound core biopsy
What is mastalgia?
breast pain, most commonly cyclic
Presentation of cyst
Commonly late reproductive years
Clearly defined, soft, mobile, smooth
Somewhat tender before menstruation
Diagnosis and treatment of cyst?
FNA
What is a papilloma?
A rare proliferation inside a cyst that is associated with bloody cyst fuid
Diagnose with core biopsy
Presentation of Paget’s disease of the nipple?
Erythematous weeping lesion on surface of nipple areola
It is a variant of ductal carcinoma
Diagnosis of pagets?
punch or incisional biopsy
Treatment of mastitis?
Abx effective for staph aureus eg flucloxacillin or augmentin
What is Mondor’s disease?
Phlebitis and subsequent clot formation in the superficial veins of the breast
