breast lump differentials

Question 1

Fibroadenoma

Answer 1

grape sized lump
mobile
smooth
no skin tethering
common in younger women - teens/20s/30s
best imagining US
triple assessment still needed if >25, or palpation and US not suggesting benign

Question 2

management of fibroadenoma

Answer 2

no treatment
excision if >4cm, growing or patient requests
generally stay the same size, but some get smaller, some increase especially in teenage girls and pregnant women

Question 3

cysts and there management

Answer 3

grape sized lump
usually age 50s

management
dont need treatment
if causing pain, fluid is aspirated
dont turn into cancer
come back if you find another lump don't assume its a cyst