L2: Benign Breast Diseases - Fibrocystic Diseases of The Breast Flashcards
Synonyms of Fibrocystoic Diseases of The Breast
Fibroadenosis = fibrocystic changes = fibroadenomatosis = Cyclic nodularity
Def of Fibrocystoic Diseases of The Breast
- Fibrocystic disease refers to a spectrum of histopathologic changes that are best diagnosed and treated specifically
Incidence of Fibrocystoic Diseases of The Breast
Etiology of Fibrocystoic Diseases of The Breast
Sites of Fibrocystoic Diseases of The Breast
- Common bilateral but maybe unilateral
- Common affects upper outer quadrant but the whole breast may be affected
NE of Fibrocystoic Diseases of The Breast
ME of Fibrocystoic Diseases of The Breast
CP of Fibrocystoic Diseases of The Breast
Symptoms of Fibrocystoic Diseases of The Breast
Symptoms of Fibrocystoic Diseases of The Breast
- Pain
Symptoms of Fibrocystoic Diseases of The Breast
- Nipple Discharge
- Serous, green or dark brown or black
(NEVER bloody)
Symptoms of Fibrocystoic Diseases of The Breast
- Lump
Painful & either single or multiple
Signs of Fibrocystoic Diseases of The Breast
Signs of Fibrocystoic Diseases of The Breast
- Nodules
- Fine & coarse nodules are better felt with of tips of fingers
- Tender & mobile
Signs of Fibrocystoic Diseases of The Breast
- LN
*Enlarged, tender & firm
(NEVER hard)
Complications of Fibrocystoic Diseases of The Breast
- Hemorrhage in cysts
- Infection
- Carcinoma
Fibroadenosis is not precancerous except if there is:
A. Moderate or florid typical hyperplasia.
B. or atypical hyperplasia.
c. or sclerosing adenosis or macrocyst.
DDx of Fibrocystoic Diseases of The Breast
- Mass → From other causes of masses of breast
- Nipple discharge → From other causes of nipple discharge
- Pain → From other causes of breast mastalgia.
INVx for Fibrocystoic Diseases of The Breast
- Sonomammogram —-> Reveal focal or diffuse breast masses
- Biopsy from mass
- Cytological examination from nipple discharge
TTT of Fibrocystoic Diseases of The Breast
TTT of Fibrocystoic Diseases of The Breast
- Conservative
TTT of Fibrocystoic Diseases of The Breast
- Surgical