Benign Breast Disease

Question 1

What is this describing and how is it managed?

A smooth discrete breast lump which is occasionally painful.

Answer 1

1. Breast cyst

2. Triple assessment, aspirate and cytology

Question 2

What is this describing and how is it managed?
Obese woman with large breasts, trivial or unnoticed trauma, and round lump which can develop into hard and irregular lump.

Answer 2

1. Fat necrosis

2. Triple assessment, imaging and core biopsy

Question 3

What is this describing and how is it managed?

Bloodstained breast discharge from hyperplastic lesions.

Answer 3

1. Duct papilloma

2. Microdochectomy - duct removal

Question 4

What is this describing, what causes it, and how is it managed?
Lactating woman, red and hot tender swelling of breast. Infection present.

Answer 4

1. Breast abscess
2. Staphylococcus aureus
3. Flucloxacillin and USS guided aspiration

Question 5

What is this describing and how is it managed?

Menopausal woman with tender lump around areola. May have a thick green nipple discharge.

Answer 5

1. Mammary duct ectasia - dilation of large breast ducts

2. Triple assessment