Breast Mass Flashcards

1
Q

Step 1 of breast development?

A

An ingrowth of primary tissue bud arises in the mesenchyme

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2
Q

Step 2 of breast development

A

The primary bud develops 15-20 secondary buds

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3
Q

What develops, from the secondary buds?

A

Epithelial cords

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4
Q

Lactiferous ducts develop and open into what?

A

A shallow mammary pit

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5
Q

What happens if a mammary pit fails to elevate above skin level?

A

Inverted nipple

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6
Q

Amastia, i.e absence of the breast, is rare, but what causes it

A

Mammary ridge stops developing at the 6th fetal week

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7
Q

What is Poland’s syndrome.

A

Absence of the breast, and rib defects, in which they are not there or inwards

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8
Q

What is a Mamogram

A

Breast X-Ray for women over 35

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9
Q

We often do routine mamograms for women, what are the indications

A

Every year after they reach 50

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10
Q

When we find lesions through mamograms, what differentiates benign from malignant

A

Benign is a round, fat containing lesion. Malignant is a distorted linear lesion.

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11
Q

What investigation do we do for women younger than 35?

A

Ultra sound

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12
Q

Ultra sound can differentiate between what…?

A

Cystic and solid masses

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13
Q

What, when added to an US, can differentiate between benign and malignant lesions

A

Doppler

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14
Q

What is the guiding principle of treating chest infections??

A

Giving antibiotics immediately. To stop abscess formation

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15
Q

What is Mastitis Neonatorum?

A

Continued enlargement of breast bud in first week or two of life

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16
Q

What is the cause of infection in Mastitis Neonatorum?

A

Staphylococcus Aureus

17
Q

How do we Treat early stage mastitis?

A

Antibiotics

18
Q

If mastitis is in a localized collection, what is treatment?

A

US, incision and then drainage obv

19
Q

Acute lactational infections are caused by?

A

Staphylococcus/streptococcus

20
Q

When do Acute lactational infections most commonly happen?

A

Following a first pregnancy during the breast feeding stage

21
Q

How do we treat acute lactational infections?

A

Amoxicillin mostly

22
Q

When we do an US to monitor acute lactational infections and find Abscess, what do we do?

A

Incision, repeated aspiration and antibiotics

23
Q

In acute lactational infections, do we stop breastfeeding?

A

No.

24
Q

Why don’t we stop breastfeeding in acute lactational infections?

A

Because it promotes drainage and resolve infection

25
Q

Who do we see Periareolar infections in?

A

Young cigarette smokers

26
Q

Breast Fat necrosis is associated with what as causes

A

Trauma or radiation

27
Q

What is the most common benign tumor?

A

Fibroadenoma

28
Q

What fibroadenoma size is considered a disease?

A

3+cm, anything more than 1cm is a “Disorder”

29
Q

Fibroadenoma surgical treatment?

A

Excision through a circumareolar entry

30
Q

Phyllodes tumor surgery?

A

Mastectomy

31
Q

Where do Intraductal papillomas arise?

A

Lactiferous duct

32
Q

Intraductal papilloma biggest sign?

A

Serous or bloody nipple discharge.

33
Q

Treatment for Intraductal papillomas

A

Central duct excision

34
Q

What is Duct Ectasia?

A

A syndrome which describes dilated sub-areolar ducts that are palpable and associated with thick nipple discharge.

35
Q

Duct Ectasia treatment?

A

Central duct excision