The Breast Flashcards
1
Q
What is the clinical presentation of breast disorders?
A
- Pain - less than 2% have cancer. - Palpable mass, cysts, benign tumours, cancer. - Nipple discharge. - Mammographic abnormally - 2% screened asymptomatic.
2
Q
What are examples of benign diseases?
A
- Fibrocystic disease - Fat necrosis - Mastitis
3
Q
What is fibrocystic disease?
A
- Very common - Lumpiness, pain/tenderness, hormone-related changes, cumulative process and calcification.
4
Q
What is fat necrosis?
A
- Trauma to breast can result in localised haemorrhage/necrosis. - Hard-lump mimics cancer clinically.
5
Q
What is mastitis?
A
- Inflammatory condition - red, tender and warm. - Blocked ducts - lactation mastitis.
6
Q
What are examples of BENIGN breast tumours?
A
- Fibroadenoma - Papilloma
7
Q
What are examples of MALIGNANT breast tumours?
A
- Ductal carcinoma - Lobular carcinoma - Paget’s disease of the nipple?
8
Q
What is fibroadenoma?
A
- Rubbery lumps - benign, doesn’t need to be removed. - Can increase in size during pregnancy.
9
Q
What is papilloma?
A
- Wart-like growth in ducts - bleeding/nipple discharge. - Up to 2cm.
10
Q
What is ductal carcinoma?
A
- Abnormality of milk ducts. - Pre-malignant condition.
11
Q
What is lobular carcinoma?
A
- 5-10% breast cancers involving the lymph nodes.
12
Q
What is Paget’s disease of the nipple?
A
- Affects skin of one nipple - eczema-type rash, bleeding. - Sign of underlying breast cancer.
