Breast Conditions Worksheet

Question 1

Felt to be hormonal imbalance

Caffeine consumption

Answer 1

Fibrocystic changes of breast

Question 2

Pain

Maybe nipple discharge

Fluctuation in size

Multiplicity of lesions

Answer 2

Fibrocystic changes of breast

Question 3

Exam shows lumpy, thick, firm, and mobile breast tissue

Answer 3

Fibrocystic changes of breast

Question 4

How to diagnose Fibrocystic changes of breast

Answer 4

biopsy
U/S
Mammogram: only if > 30

Question 5

Reassurance

Answer 5

Fibrocystic changes of breast

Question 6

has no malignant potential

Answer 6

Fibrocystic changes of breast

Question 7

occurs more in younger women

Answer 7

fibroadenoma

Question 8

Hormonal response: estrogen sensitive

Changes with pregnancy & regresses with menopause

Answer 8

fibroadenoma

Question 9

Exam shows round, firm, relatively movable breast tissue

Non-tender with a 1-5 cm mass

Answer 9

fibroadenoma

Question 10

U/S shows well-defined mass with benign features

Core needle biopsy is confirmatory

Answer 10

fibroadenoma

Question 11

how to treat fibroadenoma

Answer 11

local excision with all margins included

Question 12

Common in perimenopausal and menopausal women

Answer 12

intraductal papilloma

Question 13

breast duct disorder that could have several causes

Answer 13

intraductal papilloma

Question 14

bloody, serous, or turbid nipple discharge

may have a palpable tumor

Answer 14

intraductal papilloma

Question 15

Mammogram and/or u/s

Ductography shows…

in intraductal papilloma

Answer 15

intraductal filling defect

Question 16

tx of intraductal papilloma

Answer 16

excision of involved duct

Question 17

normal or inappropriate lactation

Answer 17

galactorrhea

Question 18

possible causes of galactorrhea (4)

Answer 18

physiologic

neoplastic

Hypothalamic-Pituitary

Meds

Question 19

milky nipple discharge

Answer 19

galactorrhea

Question 20

infection in breast tissue

Answer 20

mastitis/abscess

Question 21

cystic dilation of duct filled with thick, milky fluid

MCC by staph aureus

Answer 21

mastitis/abscess

Question 22

Sudden onset of fever

Localized pain/swelling

Answer 22

mastitis/abscess

Question 23

See fluctuant mass on palpation after mastitis

Answer 23

consider abscess

Question 24

if you think you’ve got an abscess

Answer 24

perform needle aspiration

Question 25

how to tx mastitis/abscess

Answer 25

continue breast feeding/pumping

ABX

Question 26

what tests do you need with galactorrhea

Answer 26

Serum preg

Prolactin

Renal Fx

TSH

Visual field testing

MRI

Question 27

tx of galactorrhea

Answer 27

treat underlying cause