Breast Conditions Worksheet Flashcards
Felt to be hormonal imbalance
Caffeine consumption
Fibrocystic changes of breast
Pain
Maybe nipple discharge
Fluctuation in size
Multiplicity of lesions
Fibrocystic changes of breast
Exam shows lumpy, thick, firm, and mobile breast tissue
Fibrocystic changes of breast
How to diagnose Fibrocystic changes of breast
biopsy
U/S
Mammogram: only if > 30
Reassurance
Fibrocystic changes of breast
has no malignant potential
Fibrocystic changes of breast
occurs more in younger women
fibroadenoma
Hormonal response: estrogen sensitive
Changes with pregnancy & regresses with menopause
fibroadenoma
Exam shows round, firm, relatively movable breast tissue
Non-tender with a 1-5 cm mass
fibroadenoma
U/S shows well-defined mass with benign features
Core needle biopsy is confirmatory
fibroadenoma
how to treat fibroadenoma
local excision with all margins included
Common in perimenopausal and menopausal women
intraductal papilloma
breast duct disorder that could have several causes
intraductal papilloma
bloody, serous, or turbid nipple discharge
may have a palpable tumor
intraductal papilloma
Mammogram and/or u/s
Ductography shows…
in intraductal papilloma
intraductal filling defect
tx of intraductal papilloma
excision of involved duct
normal or inappropriate lactation
galactorrhea
possible causes of galactorrhea (4)
physiologic
neoplastic
Hypothalamic-Pituitary
Meds
milky nipple discharge
galactorrhea
infection in breast tissue
mastitis/abscess
cystic dilation of duct filled with thick, milky fluid
MCC by staph aureus
mastitis/abscess
Sudden onset of fever
Localized pain/swelling
mastitis/abscess
See fluctuant mass on palpation after mastitis
consider abscess
if you think you’ve got an abscess
perform needle aspiration
