Breast Flashcards

1
Q

What is the proper name for blockage of lactiferous ducts in the breast?

A

Duct ectasia

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2
Q

In which demographic is duct ectosis most common?

A

Per/post-menopausal women

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3
Q

Where would a lump be found in duct ectasia?

A

Behind the nipple

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4
Q

Describe the key symptoms of duct ectasia

A

Discharge from nipple

Tenderness

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5
Q

Recall 2 breast diseases that produce a highly-mobile, well-demarcated lump

A

Breast cyst

Fibroadenoma

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6
Q

If a breast lump is transilluminable and fluctuant, what is it most likely to be?

A

Breast cyst

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7
Q

For which type of benign breast disease is straight biopsy the most appropriate invetsigation?

A

Duct ectasia

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8
Q

For which type of benign breast disease is FMA and USS/mammography the most appropriate investigation?

A

Breast cysts and fibroadenomas

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9
Q

Recall the management of duct ectasia

A

Self-limiting

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10
Q

Recall one medical and one surgical option for management of fibroadenoma

A

Medical: ormeloxifene (SERM)
Surgical: USS-guided cryoablation

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11
Q

How is breast cyst managed?

A

FNA/ drainage

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12
Q

What is the triple assessment for breast cancer?

A
  1. History and clinical exam
  2. Imaging
  3. FNAC/core biopsy
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13
Q

What is mastitis?

A

Inflammation of the breast

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14
Q

Which breast disease is most likely to cause systemic flu-like symptoms?

A

Abscess/mastitis

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15
Q

How should breastfeeding be approached in women with mastitis?

A

It should be encouraged from the other breast

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16
Q

Differentiate the management of mastitis and breast abscess

A

Mastitis: analgesia, sometimes ABx
Abscess: US-guided FNA, incision and drainage

17
Q

What is the link between mastitis and breast abscess?

A

Mastitis can lead to abscess formation

18
Q

Why is USS done in mastitis/breast abscess?

A

To distinguish from tumour