Fat necrosis, fibroadenoma and fibrocystic disease Flashcards
What is fat necrosis?
Fat necrosis is a benign pathology of the breast which is more common in obese patients.
What are clinical features of fat necrosis?
Can vary from a firm, round lump to a hard, irregular lump
Usually found following trauma to the breast
Overlying skin inflammation/bruising
How would you manage fat necrosis?
Intervention is not generally required.
How would you assess patients with fat necrosis?
Patients should always be sent to triple assessment to rule out cancer.
What is fibroadenoma?
Fibroadenomas are benign tumours of fibrous and epithelial tissue which arise from lobules.
What are clinical features of fibroadenoma?
Young age of presentation (peaking in early 20s) Firm, non-tender mass Rounded with smooth edges Highly mobile Normally don't grow beyond 3cm
What investigations would you do for fibroadenoma?
Although they are benign, patients should undergoes triple assessment in order to rule out more sinister pathology.
How would you manage fibroadenoma?
Can be managed with surgical excision but many will also regress after menopause if conservatively managed.
What are key points about fibrocystic disease of the breast?
Fibrocystic disease is the most common benign disease of the breast.
It occurs most commonly in the 20-50 year old age group.
It is caused by the cumulative effect of cyclical hormones
What are the clinical features of fibrocystic disease of the breast?
Bilateral “lumpy” breasts – more commonly in upper outer quadrant
Breast pain
Symptoms which worsen with the menstrual cycle – normally peaking 1 week before menstruation
How would you manage fibrocystic disease of the breast?
Treatment is essentially supportive although there is some question as to whether oral contraceptives or hormone replacement therapy may work.
Most cases will resolve after menopause.
