Lump differentials Flashcards
1
Q
Fibroadenoma O/E (6)
A
- Firm and lumpy
- Large lobules
- Moves easily
- Can be 1-5cm
- 15-35 years
- Painless
2
Q
What age does a fibroadenoma present?
A
15-35
3
Q
Cyst O/E (5)
A
- Smooth
- Spherical
- Size varies
- Fluid filled sac
- Age: 35-45
4
Q
What age does a cyst present?
A
35-45
5
Q
Carcionoma (5)
A
- Rock hard
- Irregular
- Tethering - dimple= mass pulling on the skin
- Immobile
- Puckering of skin
- 50+ years
- Nipple changes
6
Q
At what age is a lump cancer until proven otherwise?
A
50+
7
Q
Sign of advanced breast cancer (3)
A
Peau d’orange - - Diffuse erythema and oedema
- Dimpling - orange rind
8
Q
Prognosis of fibroadenoma (4)
A
- 1/3 regress
- 1/3 say the same
- 1/3 get bigger
- NOT CANCEROUS/INCREASE RISK
9
Q
What is the presentation of ductal caricoma in situ when large ducts are involved?
A
Nipple discharge
10
Q
Fibrocystic breast disease
A
- Benign growth abnormality
- Causes lumpiness and tenderness
- Very common
- Pre-menopausal women
- Menstruation
11
Q
Fat necrosis (2)
A
- Trauma caused
- Hard irregular lump
12
Q
Lipoma (2)
A
- Fatty growth
- Causes lump changing shape of breast
