Breast Disorders Flashcards
a modified sebaceous gland, located within the superficial fascia of the chest wall
breasts
When should a woman be instructed to do breast exams?
7-10 days after period (less lumpy and tender)
Stimulates the growth and proliferation of ductile system
estrogen
What happens to breast tissue as a women ages?
younger breasts are predominately glandular tissue and as a women ages glands are replaced by fat
key components of breast cancer detection programs
Differences in palpable consistency and in radiographic density between the glands and fat
Most common place for breast cancer
upper/outer quadrant of breast
Why do breasts feel swollen, painful, tender, or lumpy during menstruation?
Milk glands and ducts enlarge and retain water
Most significant risk factor for breast cancer after gender
age
What type of genes are BRCA1 and BRCA2?
tumor suppressor genes
What is a solitary, non-mobile breast mass that is firm to hard suggestive of?
breast cancer
exaggerated physiologic response to a changing hormonal environment. Is the most frequent lesion of the breast
fibrocystic change
What exacerbates fibrocystic change?
premenstrual period and ETOH
Benign neoplasm made from an overgrowth of glandular and fibrous breast tissue. Occurs frequently in young women
fibroadenoma
What would you feel on palpation with a fibroadenoma?
mass slides between the fingers and is easily moveably
Lump that is round, non-tender, rubbery and has smooth margins
fibroadenoma
Used to evaluate fibroadenomas
ultrasound
Treatment recommendations for fibroadenomas in all women > 40yrs
excision
What are the two main differences between fibroadenomas and phyllodes?
phyllodes tumors tend to grow more quickly and develop about 10 years later in life — in the 40s as opposed to the 30s
preferred imaging if a palpable mass is found, if a patient is younger than 30 years, or if the patient is pregnant.
ultrasonography
preferred imaging if patient has a palpable mass, is older than 30-35 years, and is not pregnant
mammography
Breast tenderness or warmth to the touch. Fever. Swelling of the breast. Skin redness in a wedge-shaped pattern. Pain or a burning sensation continuously or while breast-feeding
Mastitis
When does mastitis frequently present?
within 3 months after delivery
Organism involved with mastitis
s. aureus
Antibiotic for PCN resisitant staph
Dicloxacillin or a cephalosporin (Keflex) for 5-7 days
