What are key features of breast fibroadenoma?
- Develop from a whole lobule
- Common < 30yrs
- Mobile, firm, painless breast lumps - 'a breast mouse'
12% of all breast masses
- Over 2 year period, 30% will get smaller
- No increase risk of malignancy
What is the treatment for fibroadenoma?
- If >3cm → surgical excision usual
- Phyllodes tumours should be widely excised (mastectomy if lesion large)
What are key features of fibrocystic changes?
- Cyclical proliferation + involution of breast tissue
Symptoms change with menstrual cycle
- In women between 24-45 Y
- Sx → cyclical pain / multiple or single lumps / cysts
What is the treatment for fibrocystic changes?
- Solitary lump → triple assessment
- Cysts → treat w/ aspiration
- Pain relief, OCP and evening primrose oil may help
What are breast cysts?
7% of all Western females present with a breast cyst
- Smooth discrete lump +/- fluctuant
- Small inc risk of breast cancer (esp if younger)
- Age group = 40-60 Y
- Diagnosed w/ USS
- Treated with needle aspiration during triple assessment
What are features of breast pain (mastalgia)?
- Associated w/ benign disease + may be unilateral or bilateral
- Cyclic mastalgia → relates to menstrual cycle, pathology excluded by exam + imaging
How is mastalgia managed?
- Conservative → firm bras, paracetamol, evening primrose oil
- Hormonal therapies for chronic pain
What is duct ectasia?
- Seen in up to 25% normal female breasts
- Present w/ thick-green nipple discharge, from single or multiple ducts
- Duct ectasia often normal variant of breast involution and not same condition as periductal mastitis
What is intraductal papilloma?