Benign / Malignant Breast Flashcards Preview

Y3 Reproductive > Benign / Malignant Breast > Flashcards

Flashcards in Benign / Malignant Breast Deck (97)
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1

What is grading?

A measure of tumour differentiation

(How similar it is to original tissue)

2

What is the commonest cause of a breast lump in PTx aged under 30yrs?

Fibroadenoma

3

What is the commonest cause of a breast lump in PTx aged 30-50?

Cyst

4

What is the commonest cause of a breast lump in PTx aged over 50yrs?

Breast cancer

5

What imaging modality has the highest sensitivity at viewing the breast?

MRI

6

What age group does fibrocystic change occur in?

40 - 50 years

7

An early menopause is a RF for fibrocystic change T or F

False, a late menopause is

8

What symptom of the climacteric period is associated with fibrocystic change?

Abdominal menses e.g. menorrhagia, oligomenorrhea

9

How may fibrocystic change present?

Multiple smooth lumps
Cyclical breast pain

10

Are lumps in fibrocystic change solid or fluid full?
What type of epithelium are they lined by?

Fluid full
Lined by apocrine epithelium

11

What Ix should you do for suspected fibrocystic change?

US breast - fluid full not worrying

12

What is the Mx of fibrocystic change?

Nothing, most resolve post menopause

13

How does a fibroadenoma present?
-Is it painful?
-Firm or solid?
-Mobile or fixed?
-Rough or well circumscribed?

Painless
Well circumscribed
Firm
Mobile

14

What is the pathology of fibroadenomas?

Epithelial + stromal hyperplasia

15

Fibroadenomas are premalignant. T or F

False

16

What Ix should be done for fibroadenomas?

US +- core needle biopsy if suspicious

17

What is the definitive Dx for fibroadenomas?

Core needle biopsy

18

What is the Mx of a fibroadenoma?

Nothing, can excise if PTx requests

19

What is the name of the benign breast lump caused by normal breast components in abnormal proportion and distribution?

Hamartoma

20

What age range are breast papillomas most common in?

35 - 60 years

21

How do breast papillomas present?

Discharge +- bloody
+-Lump

22

Where in the breast are papillomas found?

Intraduct

23

Breast papilloma Ix

US / mammo
+
Core needle biopsy

24

Breast papilloma Mx

Excise

(Very rarely malignant)

25

Breast papillomas may calcify. T or F

True

26

What age range are breast cysts most common in?

40 - 50 years

27

Breast cysts are:
-[Solid/fluid full]
-[Soft/firm]
-[Mobile/fixed]
-[Distinct/indistinct] border

Breast cysts are:
-Fluid full
-Soft
-Mobile
-Distinct border

28

Breast cysts Ix

FNA

29

What is the aetiology of fat necrosis?

Trauma - seat belt injury
Warfarin
Idiopathic

30

Fat necrosis pathology

Foamy macrophages - fibrous scar