Breast Mass

Question 1

Benign breast condastiin
(Mastiitis)
Complicastion :
Presentastion :

Answer 1

Breast inflamtion ➡️Staph arues .
Brest abscess
redness ,hotness , pain tenderness

Question 2

Brest abscess
Presentastion :

Answer 2

Redness , hotness ,throbbating pain tenderness ,fluctuant mass

Question 3

Fibroadenoma
Age ?
Lengt ——-cm Giant fibroadenoma more than ——-cm
Clinical presentation : 4

Answer 3

Aberration of normal development and involution
Fibroadenoma -age 15-25 years Due to hyperplasia of the lobule Usually 2-3cm Giant fibroadenoma of more than 5 cm -clinical presentation: discrete, smooth, firm ,
rubbery , mobile lump (breast mouse)
Management:
Conservative management Excisional Biopsy
Aberration of normal development and involution
Fibroadenoma -age 15-25 years Due to hyperplasia of the lobule Usually 2-3cm Giant fibroadenoma of more than 5 cm -clinical presentation: discrete, smooth, firm ,
rubbery , mobile lump (breast mouse)

Question 4

Fibroadenosis
Age?
Patholgical feature ? (3)
Presentastion ?

Answer 4

Fibroadenosis; (Fibrocystic disease of the breast)
Common in premenopausal women, 30 and above pathologic features: stromal fibrosis, macro- and microcysts,
apocrine metaplasia, hyperplasia, and adenosis
Presentation: Irregular breast mass, may increase in size and
develop pain with menstruation+_ nipple
discharge

Question 5

Gynaecomastia

Answer 5

Generalized enlargement of the male
breast Usually due to disturb oestrogen
androgens ratio Causes. Drug. Increase age. Idiopathic.
Diseases

Question 6

Phylloid tumor
Age ?
Presentastion :

Answer 6

Skin ulcerations may occur secondary to pressure of the
underlying mass Usually not attached to skin or underline structure And no palpable axillary lymph node

Question 7

Duct ectasia

Answer 7

Abnormal ducts dilatation due to periductal
inflammation
• Risk factor : smoking
• Presentation : abnormal nipple discharge (green, yellow, brown)

Question 8

Duct papilloma

Answer 8

The common cause of bloody nipple discharge

Question 9

Galactocele

Answer 9

milk retention cyst

Question 10

Traumatic fat necrosis
Clinical presentastion :

Answer 10

palpable hard lump, tethering of
skin, Retraction of nipple, mimic
carcinoma

Question 11

In the sub histolgical where more prognosis

Answer 11

Tubular

Question 12

Invasive cancer Rasio
Ductal %
Lobule %

Answer 12

80-90%
5-10%