Breast Disorders, Breast Pathology Flashcards
common causes of glactorrhea
- xs stim
- prolactinoma
- hypOthyroid
- DA antagonists
bloody nipple discharge causes
intaductal papilloma
breast cancer
intraductal papilloma
- lactiferous duct, usu 2-4mm, solitary
- bloody/serous discharge (arise in lactiferous duct
- women 30-50 y/o
- multiple + atypia –> underlying cancer
Paget’s
skin involvement with underlying breast cancer
clinical breast exam recommendation
25-39: every 1-3 years
greater than 40: every year
screening mammography guidelines
~1-2 years starting at 40-50
annual >50
fibrocystic breast disease tx
NSAIDs
supportive bras
pill/patch/ring
fibroadenomas
- most comm breast mass in younger women
- firm, well-circumscribed, mobile, non-tender
- may fluctuate slowly
shrink: menopause
grow: preg (via inc estrogen)
firm, fixed, feels stuck to chest wall
breast cancer
Phyllodes tumor
rare
younger women
single breast, lg, germ
RAPIDLY grown but rarely mets
mastitis tx
dicloxacillin QID
CONTINUE BREASTFEEDING/PUMPING
benign breast diseases
fibrocystic change fibroadenoma fat necrosis (traumatic) acute mastitis intraductal papilloma* phyllodes*
malignant phyllodes is a
sarcoma
benign, non-proliferative disease
adenosis
apocrine metaplasia
duct ectasia
ductal hypERplasia of usual type
slightly inc risk of breast CA
(WITHOUT ATYPIA)
- ductal hyperplasia of usual type, moderate or florid
- intraductal papilloma
- sclerosis adenosis