Breast Disorders Flashcards
What are some treatments for breast pain associated with lumps?
Evening primrose oil
Vitamin B6
Caffeine reduction
Tamoxifen
What is seen behind a cyst on US?
Post acoutic enhancement
What do you ask on Hx about a lump?
Size
Texture
Tethered?
Associated skin changes
Pain
Nipple discharge
Time course
Previous lumps
What is the most common cause of a bloody or serous discharge from the nipple?
One of the types of hyperplastic lesions
Which breast lumps can be tender?
Fibroadenoma
Abscess
Fibrocystic change/disease
Inflammatory breast cancer
Mastitis
Which other organs should be screened along with the breast exam?
Liver
Lungs
Spine
What is the DDx for a tender, fluctuating breast lump in a previous menopausal woman?
Fibrocystic change/disease
What do you ask on Hx about nipple discharge?
?Blood/Milk/Pus
Colour
Spontaneous or expressible
Skin changes/Erythema
Nipple distortion
Associated mass
Which type of breast cancer presents with tenderness?
Inflammatory breast cancer
What are DDx for bleeding discharge?
Papilloma
Ductal carcinoma
Duct ectasia
How many grades of breast cancer are there?
3
Which lymph nodes should be examined?
Axiliary
Supraclavicular
What are some risk factors for breast cancer?
Previous Hx of cancer
1st degree relative with breast, ovarian, or prostate cancer
FHx of other cancers
Obesity
Age of Menarche
Breast feeding
Child birth
Radiation exposure - therapeutic radiation only
Smoking and alcohol
