7.2 Breast Disease in Primary Care Flashcards
Label the image
Label the image
What is the NICE referral criteria for breast cancer?
Referr for an appointment within 2 weeks if:
Aged 30 and over with unexplained breast lump with or without pain
Aged 30 with unexplained lump in axilla
Aged 50 and over with any of the following in one nipple only:
- Discharge
- Retraction
- Other concerning changes
What is the most common presenting symptom of breast cancer?
Breast lump
What do these images show?
What are fibroadenomas?
Arise in breast lobules and are composed of fibrous and epithelial tissue
How do fibroadenomas present?
Firm
Non-tender
Highly mobile
Palpable
What increases the incidence of fibroadenomas?
Hormone replacement therapy
What can be mistaken for a tumour on clinical examination?
Breast cysts
Palpable discrete lumps
What is intraductal papilloma?
Benign growth in a single milk duct
This causes spontaneous discharge from one nipple only
What is a mammary duct ectasia?
Dilation of large and intermediate breast ducts
Results from shortening and dilation of subareola ducts as they involute
May present with a breast lump or nipple discharge
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