Breast disease

Question 1

criteria to be urgently referred to a breast clinic

Answer 1

women over 30 with a new lump

swollen axillary lymph nodes that have presented for over 2 weeks

lumpiness in the breast lasting over 2 weeks

Question 2

what is mastitis

Answer 2

inflammation of the breast with or without infection
common complication of breastfeeding

Question 3

red hot tender painful breast
usually unilateral

Answer 3

mastitis

Question 4

management of mastitis

Answer 4

patients advised to continue breastfeeding
if abscess - incision and drainage

Question 5

what is fibroadenoma

Answer 5

benign tumour of fibrous and epithelial tissue

Question 6

young female 20-40
painless lump
highly mobile
usually up to 3cm
firm, non-tender
rounded with smooth edges

Answer 6

fibroadenoma

Question 7

management of fibroadenoma

Answer 7

although benign still requires assessment
under 30 - routine referral
over 30 - urgent referral

Question 8

what is fibrocystic disease of the breast

Answer 8

most common benign breast disease
most common in 20-50 year olds

Question 9

bilateral “lumpiness”
painful breast
sx worsen during menstrual cycle - peaks 1 weeks before menstruation

Answer 9

fibrocystic disease of the breast

Question 10

management of fibrocystic breast disease

Answer 10

mainly supportive
soft, well-fitted bra
avoid caffeine
analgesia

Question 11

palpable per-aerolar mass
thick yellow, green, brown nipple discharge bilaterally

Answer 11

mammary duct ectasia

Question 12

fast growing lump in breast
presenting in women in 40s/50s
smooth, hard palpable mass

Answer 12

phyllodes tumour

Question 13

bloody nipple discharge

Answer 13

intraductal papilloma

Question 14

eczema like rash around nipple - crusty, red and itchy
nipple discharge may be bloody
burning sensation - increased sensitivity and pain
nipple changes - retraction or inversion

Answer 14

paget’s disease of the nipple