breast lumps Flashcards
fibroadenoma
common, benign tumours of stromal/epithelial breast duct tissue
typically small and mobile
“breast mouse”
fibroadenoma - features
more common younger women 20-40
respond to oestrogen and progesterone
fibroadenoma - OE
painless smooth round well circumbscribed firm mobile
fibrocystic breast changes
connective tissues, ducts and lobules of breast respond to oestrogen and progersterone
become fibrous and cystic, changes fluctuate with menstrual cycle
fibrocystic breast changes - features
symptoms prior to menstruating and resolve once begin period
lumpiness
breast pain (mastalgia)
fluctuating breast size
fibrocystic breast changes - Mx
exclude cancer
wear supportive bra
NSAIDs
avoid caffeine
apply heat to area
Breast cysts
benign, individual fluid filled lumps
most common cause of breast lumps
Breast cysts - features
can be painful
may fluctuate in size over menstrual cycle
Breast cysts - OE
smooth
well circumscribed
mobile
possibly fluctuant
Breast cysts - Mx
further assessment to exclude cancer
*may slightly increase risk of breast cancer
fat necrosis
benign lump due to local degeneration and scarring of fat tissue in breast
fat necrosis - what happens
commonly triggered by trauma, radiotherapy or surgery
inflammatory reaction resulting in fibrosis and necrosis of fat tissue
fat necrosis - OE
painless firm irregular fixed in local structures may be skin dimpling or nipple inveresion
lipoma
benign tissue of adipose tissue
lipoma OE
soft
painless
mobile
no skin changes
