Buzz words: Breast

Question 1

“Breast mouse”, benign

Hard, smooth, mobile

Answer 1

Fibroadenoma

Question 2

“Fibrocystic changes”
Multiple cysts and nodules
Oestrogen-induced hyperplasia

Answer 2

Fibroadenosis

Question 3

First month of breast feeding
Large hot, painful lump
Skin commensals

Answer 3

Acute Mastitis

Question 4

Symptoms above
Inability to sleep
Continuous pain

Answer 4

Breast Abscess

Question 5

Painful, erythematous
Sub-areolar mass
Abscess and inflammation
>90% smokers

Answer 5

Periductal Mastitis

Question 6

Peri-areolar mass
Dilatation and blockage à inflammation
and fibrosis
White/cheesy discharge
Age 50-60

Answer 6

Duct Ectasia

Question 7

Pain same time each month

Associated with menstrual cycle

Answer 7

Cyclical Breast Pain

Question 8

Irregular, hard lump, tethered
Nipple inversion, puckering
Bloody discharge
Ulceration, swelling
Peau d’orange

Answer 8

Invasive Carcinoma

Question 9

Itchiness and discharge from nipple

No palpable lump

Answer 9

DCIS

Question 10

Itchy, erythematous, scaley

Erosion + nipple discharge

Answer 10

Paget’s Disease

Question 11

Increase in size of breast
Tear-drop appearance
Appearance of fibroadenoma

Answer 11

Phyllodes Tumour

Question 12

White, low viscosity liquid (MILK!)

Galactorhoea and no pregnancy

Answer 12

Prolactinoma

Question 13

Trauma to breast
Overlying bruising
Hard, irregular lump

Answer 13

Fat Necrosis