Flashcards in Breast Disease Deck (18)
minor factors on history for someone with breast changes?
any children before?
past medical of breast disease
radiation therapy (hodkin's lymphoma)
breast lump history type that are worrying?
atypical ductal hyperplasia
if mastalgia and varies with menstrual cycle, should we be worried?
differential for young woman with breast lump that doesn't vary with menstrual cycle?
fibroadenoma (usu younger age group)
redness and tenderness/pain around a lump in breast ddx??
inflammatory breast cancer
fibroadenomas and cysts painful?
just on palpation, mild tenderness
which nodes to examine in breast exam?
quick breast cancer screen to rule out metastatic disease
how to investigate new breast lump in young woman?
U/S both breasts
38 year old 3/12 hx, breast tenderness that varies with menstrual cycle ddx? inv?
fibrocystic change (30s-40s pre-menopausal)
breast pain rx?
can try evening primrose oil
tamoxifen/androgens but has side effects
U/S for breast screening?
Nope, better for lumps
screen with mammogram
send off the breast cystic fluid?
yes if there's blood
could have any colour
nipple discharge questions?
spontaneous or express-able (which duct)
investigations for nipple discharge
U/S focused retro-areola
if bloody discharge from nipple, why investigate so fiercely?
1. papilloma (growth inside duct)
3. duct ectasia (dilation of ducts)
what to ask someone who presents with breast lump?
family history: 1st and secondary degree
lymph node tenderness