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Z Derm/Breast/Eyes Conditions Year 3 > Fibroadenoma + Fibrocystic Disease > Flashcards

Fibroadenoma + Fibrocystic Disease Flashcards

1
Q

What is a fibroadenoma?

A

benign breast disease

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2
Q

What is epid of fibroadenoma?

A

Usually occurs <30 but can occur up to menopause

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3
Q

What is the patho of fibroadenoma?

A

benign overgrowth of collaegenous mesenchye of one breast lobule

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4
Q

What are symptoms of fibroadenoma?

A
  1. Firm
  2. smooth
  3. mobile lump – ‘breast mouse’
  4. PAINLESS
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5
Q

What is the prognosis of fibroadenoma?

A
  1. May be multiple

2. 1/3 regress, 1/3 stay the same and 1/3 get bigger

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6
Q

What is Mx of fibroadenoma?

A
  1. Observation and reassurance
  2. If in doubt USS (conclusive) + FNA
  3. Surgical excision if large
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7
Q

What tissue is involved?

A

glandular and stromal tissue

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8
Q

What are Ix for fibroadenoma?

A
  • USS : + Re scan in 3-6 months to monitor growth

* Biopsy : >25 yo / very large

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9
Q

What is the management if the fibroadenoma is <4cm?

A

Conservative (should shrink over 2 yr – monitor for rapid enlargement)

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10
Q

What is the management if the fibroadenoma is >4cm?

A

Surgical excision

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11
Q

What is the management if the fibroadeoma is rapidly enalrging?

A

Surgical Excision

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12
Q

What are DDx for a breast lunmp?

A
  1. Fibroadenoma
  2. Fibrocystic disease
  3. Cyst
  4. Breast cancer
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13
Q

What is fibrocystic disease?

A
  • Fibrous tissue

* Fluid collection (cysts)

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14
Q

What would the fibrous parts of the breasts feel like?

A

hard / firm / rubbery

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15
Q

What are the cysts like?

A
  1. can enlarge & and stretch surrounding breast tissue a

2. have pain and tenderness (can sometimes press in localize in fingers)

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16
Q

What are the key features of fibrocystic disease?

A
  1. Child-bearing age
  2. Lumpy Breasts (can get worst in menstruation)
  3. Painful – diffuse across
  4. Changes with menstrual cycle: worse pre menstruation
17
Q

What are Ix for fibrocystic disease?

A

Persistent mass / discharge = MMG + USS

18
Q

What is the 1st line management for fibrocystic disease?

A
  1. Supprotive measure

2. Analgesia

19
Q

What is involved in the supportive measures for fibrocystic disease?

A
  1. Educate & reassure
  2. Supportive bra
  3. ↓ Na and Caffeine diet
20
Q

What analgesia is used in fibrocystic disease?

A
  1. Paracetamol
  2. Ibuprofen
  3. Aspirin
21
Q

When is 2nd line treatment used in fibrocystic disease?

A

when Breast pain severe / >6 months / Interfere ADL

22
Q

What is the 2nd line treatment for fibrocystic disease?

A
  1. hormonal therapy
  2. analgesia
  3. cyst aspiration if very big
23
Q

What hormonal therapy is used in fibrocystic disease?

A
  1. Tamoxifen
  2. Bromocriptine
  3. Danazol

Z Derm/Breast/Eyes Conditions Year 3 (25 decks)

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