Breast Cysts Flashcards

1
Q

what are the most common types of breast lumps?

A

Breast cysts

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2
Q

In what age range do breast cysts affect women?

A

30-50

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3
Q

Describe the morphology of breast cysts: (5)

A

1) fluid filled
2) smooth
3) well circumscribed
4) mobile
5) fluctuant

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4
Q

True or false: breast cysts are fixed

A

False - they are mobile

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5
Q

How can you differentiate between breast cysts and fibroadenoma:

A

breast cysts are painful whereas fibroadenomas are painless

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6
Q

True or false: breast cysts do not increase the risk of cancer

A

false

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7
Q

What imaging method can be used to visualise a breast cyst?

A

ultrasound

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8
Q

What is the gold standard diagnosis method for breast cysts?

A

fine needle aspiration

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9
Q

Give 6 differential diagnoses for breast cysts:

A

1) fibroadenoma
2) fat necrosis
3) lipoma
4) galactocele
5) fibrocystic breast changes
6) Phyllode’s tumour

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10
Q

What is fat necrosis of the breast?

A

trauma induced scarring forming a lump that is firm, irregular and painless potentially with skin dimpling or nipple inversion

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11
Q

Describe how a lipoma feels on palpation:

A

soft, painless and mobile

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12
Q

What is a galactocele?

A

a milk filled cysts that are caused by lactiferous duct blockage

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13
Q

How does a galactocele present?

A

a firm, mobile, painless lump found under the areolar

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14
Q

How does fibrocystic breast change present?

A

generalised painful, lumpy breast often worsened by menstrual change

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15
Q

generalised painful, lumpy breast often worsened by menstrual change

A

a rare fast growing connective tissue tumour

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16
Q

What is duct ectasia?

A

Duct ectasia typically develops around menopause and is common in smokers. Mammary ducts become blocked by stagnant secretions.

17
Q

how do patients present with duct ectasia?

A

greenish nipple discharge
may be brown or bloody
-nipple retraction