Breast Disorders

Question 1

Fibroadenoma clinical pictures

Answer 1

Under thirty
Breast Mice
Non tender , very mobile breast lump

Question 2

Fibroadenosis / benign mammary dysplasia ?

Answer 2

Middle aged women
Painful lumpy breast
Worsen during periods

Question 3

Breast cancer

Answer 3

Hard irregular lump
Associated with skin tethering , nipple inversion

Question 4

Paget disease of the breast ?

Answer 4

Intraductal carcinoma associated with reddening and thickening

Question 5

Mammary duct ectasia ?

Answer 5

Common around menopause

Dilation of large breast ducts

Present with tender lump around the areola
A green nipple discharge
If ruptures causes local inflammation

Question 6

Duct papilloma

Answer 6

Epithelial proliferation in large mammary ducts
Hyperplasia lesions - non malignant

BLOOD STAINED DISCHARGE

Question 7

Fat necrosis ?

Answer 7

Common in obese women with large breasts

have a traumatic aetiology

may increase in size initially

Lesion initially firm and round
Then may develop round and hard irregular

May mimic breast cancer - further investigation always warranted

Question 8

Breast access ?

Answer 8

Red hot tender swelling