BREAST DISCHARGE

Question 1

Mammary Duct Ectasia:
what is it?

what is a major risk factor

Answer 1

Benign - milk duct widens & walls thicken. Duct blocks & leads to fluid build-up

SMOKING is a major risk factor

Question 2

Mammary Duct Ectasia:

who does it affect?

Answer 2

Women who are close to menopause

Question 3

Mammary Duct Ectasia: how does it present?

Answer 3

Thick nipple discharge - may be bloodstained

Nipple & breast may be tender & red

Nipple retraction

Question 4

Mammary Duct Ectasia: management

Answer 4

Conservative - often self-resolving

Surgical excision

Question 5

Intraductal Papilloma:
what is it?
who does it affect?

Answer 5

Benign wart-like tumour that forms in the milk duct (usually just behind the areola)

Most common in >40s (around MENOPAUSE)

Question 6

Intraductal Papilloma:

how does it present?

Answer 6

Serous or bloody discharge

Small lump near the nipple

Question 7

Intraductal Papilloma & breast cancer

Answer 7

SLIGHT increased risk (think: atypical cells)

Question 8

Intraductal Papilloma: management

Answer 8

Surgical excision

Question 9

Breast abscess: presentation

Answer 9

May be associated with fever, pus discharge from the nipple and local erythema, tenderness and heat