Benign Breast Dszs

Question 1

Classify Benign Tumours of the Breast

Answer 1

Inflammatory Breast Diseases
Abberation/Anomalies in normal development and Involution
Neuroendocrine disorders

Question 2

List out the Non Neoplastic Breast Diseases

Answer 2

M’endors DSZ
Acute Breast Infection
Duct Ectasia
Fibradenosis
Fat Necrosis
Chronic Breast Abscess
Cysts
Galactocele
Gynaecomastia

Question 3

What are the categories of Neoplastic Breast Diseases

Answer 3

Epithelial
Connective
Mixed Tumour

Question 4

Examples of Epithelial Tumors

Answer 4

Duct Papilloma
Pure Adenoma

Question 5

Examples of Connective Breast Tumors

Answer 5

Lipoma
Neurofibromas

Question 6

Mixed Neoplastic Breast Tumors

Answer 6

Fibroadenoma
Giant Fibroadenoma
Philodes Tumor

Question 7

What are breast cycsts

Answer 7

Discrete lumps containing serous fluid walled off by fibrous tissue

Question 8

Breast cyst can be malignant T/F

Answer 8

T

Question 9

Breast cysts are commonly seen alongside what condition

Answer 9

Fibroadenosis

Question 10

What investigations are required to diagnose cysts

Answer 10

US & Aspiration

Question 11

Cysts increase the risk of cancer T/F

Answer 11

False

Question 12

Cysts can become malignant T/F

Answer 12

Trye

Question 13

USS description of cysts

Answer 13

Simple
Complex
Complicated

Question 14

Clinical Features of Breast Cyst

Answer 14

Painless swelling
Shirt duration
Located at the UOQ
may appear suddenly mid menstrual cycle and the disappear

Question 15

Treatment of BCysts

Answer 15

Excision: for histology
Needle aspiration

Question 16

A history of Trauma is always present TFN

Answer 16

False

Question 17

Clinical Features of TFN

Answer 17

Hard Mass
Rough surface
Indefinite Edges
Abscence of Nipple Retraction
Axillary nodes not enlarged

Question 18

Treatment of TFN

Answer 18

Excisional Biopsy

Question 19

TFN is a premalignant lesion T/F

Answer 19

False

Question 20

What are the other names for Fibroadenosis

Answer 20

Benign Mammary Dysplasia
Fibrocystic Disease
Chronic Cystic Mastitis
ANDI
Cystic hyperplasia

Question 21

Where is the commenest quadrant /location for Fibroadenosis

Answer 21

UOQ

Question 22

Which condition is exactly similar to Breast Ça

Answer 22

Chronic Breast Abscess

Question 23

What condition forms an ANTIBIOMA

Answer 23

CBA

Question 24

Treatment of ABI

Answer 24

Antibiotics
Analgesia
Drainage

Question 25

What are benign causes of Nipple retraction

Answer 25

Duct ectasia CBA

Question 26

What are benign causes of Nipple retraction

Answer 26

Duct ectasia CBA

Question 27

What organisms are implicated in Nonlactational Mastitis

Answer 27

Bactericides, Anaerobes, Streptococcus

Question 28

Nonlactational Mastitis is a feature of which condition

Answer 28

Duct Ectasia

Question 29

Accessory Breasts can be mistaken for which condition

Answer 29

Lipoma

Question 30

What is duct ectasia

Answer 30

It is the dilatation of one or more l’actife roue ducts which is associated with inflammation of periductal tissues

Question 31

Duct Ectasia is seen in which age group

Answer 31

40-50

Question 32

What is the commonest cause of nipple discharge

Answer 32

Duct Ectasia

Question 33

What is the Pathology of Duct Ectasia

Answer 33

Accumulation of fluid Dilatation of lactiferus ducts Leakage of fluids Periductal inflammation Formation of Abscess Healing by fibrosis or mammillary fistula

Question 34

What is Mondors Dsz

Answer 34

Variant of Thrombophlebitis affecting the veins of the anterior chest wall

Question 35

What are the risk factors for Mondors Dsz

Answer 35

Repeated Upper Limb Excercises Previous surgical procedures or infection in that area.

Question 36

Clinical features of Mondors Dsz

Answer 36

Pain Tender firm cord( thrombosed vein) Grove beside cord in elevated arm

Question 37

Treatment for Mondors Dsz

Answer 37

Self limiting Limitation of movement Fitting Brassiere Analgesia Surgical Excision if there’s a mass

Question 38

What is Gynaecomastia

Answer 38

Benign enlargement if the male breast

Question 39

Types of Gynaecomastia

Answer 39

Physiologic and Pathologic

Question 40

Types of Physiologic

Answer 40

Neonatal (bilateral) Pubertal( unilateral or bilaterally) Senescence (bilateral)

Question 41

Location of Gynaecomastia

Answer 41

Subareola

Question 42

Classification of Gynaecomastia

Answer 42

Grade 1: Mild Gynaecomastia with skin no skin redundancy Grade 2a: Moderate Gynaecomastia with no skin redundancy Grade 2b Moderate + skin redundancy Grade 3m Gynaecomastia +skin redundancy + ptôsis

Question 43

Types of Pathologic Gynaecomastia

Answer 43

Estrogen excess m Testicular tumors, malnutrition, hypothyroidism & hyperthyroidism, liver cirrhosis Androgen depletion: ACTH deficiency , Klinfelter Drugs: inhibitors , estrogen increase, idiopathic

Question 44

Drugs that increase estrogen

Answer 44

Estrogen, marijuana, anabolic steroids, digoxin

Question 45

Drugs that inhibit Androgens

Answer 45

Cimetidine, Spironolactone, ketoconazole, phenytoin

Question 46

Idiopathic Drugs Gynaecomastia

Answer 46

TCA’S, Reserpine, Furosemide

Question 47

Treatment of Gynaecomastia