Breast Guidelines Flashcards
Fibroadenoma: when do you excise
if >3cm
Breast cyst Ix
Aspirate it. If blood filled, biopsy and excise
Fat necrosis Ix
Core biopsy
Duct pappiloma
Microdochectomy
Breast abscess
Drain and antibiotics
mastitis
continue breastfeeding. 10-14d fluclox PO if nipple fissure, persisting beyond 12-24hr, systemically unwell
breast cancer screening frequency
47-72 every 3 years
after that make own appointment
Who gets early breast Ca screening
1 relative <40y
1 relative bilateral Ca <50y
Male breast cancer relative
When do you do a WLE
DCIS <4cm
small lesion large breast
peripheral
solitary lesion
When do you do adjuvant radiotherapy
After a WLE
If mastectomy with 4+ lymph nodes
ER+ cancer medical treatment
Tamoxifen for 5yrs
Aromatase inhibitors if post-menopausal
herceptin CI
heart disorders
2ww criteria for breast lump
30+ with a breast lump. EVEN if it sounds like a fibroadenoma they still get 2ww’d
risk factors for breast cancer
BRCA 1, BRCA 2 genes - 40% lifetime risk of breast/ovarian cancer
- nulliparity, 1st preg >30
- early menarche, late menopause
- HRT, COCP
- not breast feeding
- P53 gene mutation
discrete non-tender, highly mobile lumps
common in under 30s
fibroadenoma
