Lecture 17 The Breast Flashcards
What type of gland is the breast?
Sweat gland
What is the epithelium of the breast made of?
Ducts and lobules arranged in terminal duct lobular units
With pain in the breast?
2% have cancer
What can palpable masses in the breast be?
Cysts, benign tumours, cancer
Involving nipple discharge, what percantages are benign or malignant?
B = 95% m = 5%
With a mammographic abnormality
2% screened asymptomatic populaition
What does breast cancer screening involve?
50-70years old. (undergoing extension). Mammography. 3 yearu.
What is a mammography?
(Mastography) is the process of using low energy x-rays to examine the breast. Squash it.
40% and 10%of incidences of breast disease are
40% = fibrocystic changes. 10% = cancer
Name the three types of benign breast diseases
Fibrocystic disease, fat necrosis and mastitis.
What is fibrocystic disease?
V. common. Lumpiness, calcification, pain/tenderness. Hormone related and cumulative >30yo
What is Fat necrosis?
Trauma to breast -> localised haemorrhage and necrosis -> hard lump
What is mastitis? Risk factor?
Inflam, red, tender, warm. Blocked ducts can lead to lactation mastitis (encourage breast feeding). Smoking
What are the benign breast tumours?
Fibroadenoma and papilloma
What is fibroadenoma?
Rubbery lumps, reproductive age, do not need removal, ^during pregnancy