Lumps and bumps

Question 1

Menopausal woman presenting with a breast lump and green nipple discharge

Answer 1

Mammary duct ectasia

Question 2

Obese lady with large breasts presents with a firm, fixed, irregular breast lump. Malignancy is excluded

Answer 2

Fat necrosis

(always warrant referral as mimics malignancy)

Question 3

(Typically middle aged) woman presents with lumpy breast which may be painful before menstruation

Answer 3

Fibroadenosis (fibrocystic disease, benign mammary dysplasia)

Question 4

Age over 30 with unexplained breast lump ?refer

Answer 4

Urgent 2 week wait

Question 5

Raised calcitonin with a neck lump

Answer 5

Medullary thyroid cancer

Question 6

Treatment of Hodgkins lymphoma

Answer 6

Chemo and radiotheraoy

Question 7

Treatment of non aggressive non-hodgkins (e.g. follicular) lymphoma

Answer 7

Biologics e.g. rituximab

Question 8

Treatment of aggressive non-hodgkins (e.g. B cell)

Answer 8

Bone marrow transplant