benign breast conditions

Question 1

How do fibroadenomas present?

Answer 1

1. firm, non tender and highly mobile

2. hormone dependant

Question 2

which age are fibroadenomas common in?

Answer 2

15 - 35 years

most common breast condition in young women

Question 3

Mx of fibroadenoma

Answer 3

1. tripple assesement

2. conservative or surgical mx

Question 4

how do breast cysts present?

Answer 4

1. firm
2. mobile
3. tender / non tender
4. fluctuates with the menstrual cycles

Question 5

what age are breast cysts common in?

Answer 5

common >35

Question 6

Mx of Breast cysts

Answer 6

1. triple assesment

2. Aspiration

Question 7

how does fibrocystic disease present?

Answer 7

1. condition of breast where there is pain, cysts and masses

• bilateral cyclical pain
• breast swelling
• palpable mass/heaviness

2. Breasts are ‘doughy’ and heavy
3. changes occur with the menstrual cycle

Question 8

What is ‘Phyllodes tumour’?

Answer 8

1. leaf like tumor
2. grows rapidly
3. usually benign but occasionally malignant

Question 9

How does a breast abscess present?

Answer 9

1. erythematous
2. tender
3. fluctuant
4. patient may be systemically unwell

Question 10

what are breast abscess associated with?

Answer 10

smoking

Question 11

management of breast abscess

Answer 11

1. aspiration

2. antibiotic therapy

Question 12

What is mastitis?

Answer 12

1. infection of the breast
2. staph aureus infection
3. assoc with breast feeding women

Question 13

how does mastitis present?

Answer 13

erythema

tender, hot

Question 14

What is mastalgia?

Answer 14

breast pain

Question 15

what could mastalgia be caused by?

Answer 15

1. cyclical pre menopausal/pubertal pain

2. contraceptive pills and HRT

Question 16

What is gynaecomastia?

Answer 16

1. hyperplasia of stromal/ductal tissue of the male breast

2. unilateral, concentric tender swelling

Question 17

which drugs can cause gynaecomastia?

Answer 17

1. spirnolactone
2. warfarin
3. digoxin
4. ppi
5. h2 antagonist