Breast Mass Flashcards
Definition of what issue?
- Painful breast masses
- -1) Often multiple and bilateral
(b) Pain often worsens during premenstrual phase of cycle
(c) Rapid fluctuation in mass size is normal - -1) Estrogen is considered a causative factor
- -2) Increased risk in women who drink alcohol
(d) Most frequent lesion of the breast
(e) Most common age is 30-50
(f) Generally considered to increase the risk of subsequent not detecting breast cancer
Fibrocystic condition AKA “Fibrocystic Changes”
Most common age for Fibrocystic condition AKA “Fibrocystic Changes” is what?
30-50
True/False
Fibrocystic condition AKA “Fibrocystic Changes” of the breast is uncommon
False
Most frequent lesion of the breast
Signs and symptoms of what issue?
(a) Breast pain or tenderness
- -1) May be asymptomatic and found on accident
(b) Discomfort often worsens during premenstrual phase of cycle as cysts are enlarging
(c) Fluctuation in size of masses
(d) Multiple or bilateral
(e) Absence of enlarged or tender lymphadenopathy
Fibrocystic condition AKA “Fibrocystic Changes”
Imaging considerations
Fibrocystic condition AKA “Fibrocystic Changes”
(a) Mammography
(b) Ultrasound
- –1) Used alone when patient is under 30 years old
Core needle biopsy
1) All suspicious lesions should be ….
biopsied by a General Surgeon
Treatment for
Fibrocystic condition AKA “Fibrocystic Changes”
a) NSAIDS
b) More severe pain should be referred to primary care for further evaluation.
c) Patient education
Patient education points for Fibrocystic breasts
1) Avoiding trauma
2) Wear supportive brassiere night and day
3) Decreasing dietary fat intake
4) Consider eliminating caffeine
5) Vitamin E, 400IU daily
6) Monthly self-breast exam just after menstruation
- -a) Risk of not detecting breast cancer is higher
Definition of what issue
(a) Common benign neoplasm occurs most frequently in young women
- -1) Usually within 20 years after puberty
- -2) More frequent and occurs earlier in black women
(b) Usually discovered incidentally
Fibroadenoma
Signs and symptoms of what mass?
(a) Round or ovoid
(b) Rubbery
(c) Discrete
(d) Relatively movable
(e) Nontender mass 1-5 cm in diameter
Fibroadenoma
Imaging considerations for fibroadenoma
Ultrasound
1) Core needle biopsy often recommended
Treatment considerations for fibroadenoma
(a) All breast masses should be referred to General Surgery for further evaluation and work up
(b) Once confirmed by biopsy, no treatment is usually necessary
(c) Excision may be necessary for large or rapidly growing fibroadenomas
- –1) Larger than 3-4 cm
- –2) Rule out phyllodes tumor
- —-a) A rare malignant fibroadenoma like tumor
Definition of what issue?
(1) Lesion of the breast
- –(a) Produces a mass (often accompanied by skin or nipple retraction)
(2) Usually indistinguishable from carcinoma even with imaging studies
(3) Commonly seen after fat injections to augment breast size or fill defects after breast surgery
(4) Trauma is presumed to be the cause
(5) Ecchymosis is occasionally present
(6) If untreated, the mass gradually disappears
Fat necrosis
Fat necrosis
The safest course is to obtain a….
biopsy
-Frequently entire mass must be excised to exclude carcinoma
What lumpy bumpy is common after segmental resection, radiation therapy, or flap reconstruction after mastectomy?
-Also common after MVA or assaults’.
Fat necrosis