Breast fibroadenoma, abscess, fat necrosis, fibrocystic disease Flashcards
How can benign breast lesions be classified?
Nonproliferative
Proliferative without atypia
Atypical hyperplasias
What are giant fibroadenomas?
Typical fibroadenomas over 10cm
Excision is recommended
What are juvenile fibroadenomas?
Occur in women 10-18
What are complex fibroadenomas?
Mass on physical examination
Contain other proliferative changes
What is a lipoma?
Benign, solitary tumors composed of mature fat cells
Soft, non-tender, well circumscribed mass
What is central/ subareolar infection associated with?
Usually secondary to mastitis
What is peripheral breast infection associated with?
DM, RA, trauma, steroid treatment, granulomatous lobular mastitis
What are the most common organisms causing mastitis in lactating vs non lactating women?
Lactating = staph aureus
Non lactating = S aureus, enterococci, anaerobic bacteria
Management of mastitis
Continue breastfeeding
Prescribe oral abx if infectious
Pathology of fat necrosis of the breast
Benign condition usually due to breast trauma or surgical intervention
Excision not necessary
Pathology of fibrocystic disease
Nonproliferative epithelial lesions
Fluid filled, round masses derived from terminal duct
What are fibroadenomas?
Most common benign breast tumor
Contains glandular + fibrous tissue
Well-defined solid mass
Usually women 15-35
Management of fibroadenomas?
Surgical excision
Cryoablation
