Breast disorders Flashcards Preview

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Flashcards in Breast disorders Deck (25):
1

Fibrocystic condition- Eti

- Most frequent lesion of breast
- 30-50 yrs
- Estrogen causative factor
- Alcohol

2

Fibrocystic condition- Sx

- Asymptomatic mass
- Pain & tenderness, worsens premenstrual
- Fluctuation in size and rapid appearance/ disappearance

3

Fibrocystic condition-Dx

- US
- Mammography
- Biopsy suspicious lesions- FNA

4

Fibrocystic condition-Tx

- Wear supportive bra, avoid trauma
- Aspirate mass
- Regular follow-up

5

Fibrocystic condition- Prog

Higher risk of breast cancer

6

Fibroadenoma- Eti

- young women, 20yrs following puberty
- Black women
- Multiple tumors in 10-15% of patients

7

Fibroadenoma- Sx

- Round, rubbery, discrete & unmovable non-tender mass

8

Fibroadenoma- Dx

- US
- Aspiration & pathology

9

Fibroadenoma- Tx

None, unless suspicious

10

Nipple discharge- Eti

Most commonly due to lactiation
- Then: duct extasia, papilloma & carcinoma
- Estrogen, prolatin,

11

Nipple discharge- Sx

Nipple discharge
- Unilateral or bilateral

12

Nipple discharge- Dx

- Determine root cause & Tx
- Biopsy, labs, exam

13

Nipple discharge- Tx

- Tx symptoms/ cause
- Duct excision

14

Breast abscess- Eti

- Most common in lactating breast
- Staph aureus, Stept or ecoli
- Non-lactating= subareolar abscess

15

Breast abscess- Sx

- Tenderness, redness & induration
- Hard & red
- Cellulitis
- Systemic sx, fever
- unilateral

16

Breast abscess- Tx

- Analgesic & warm compress
- Abx
- Incision & drainage

17

Breast abscess- Dx

US, milk stream testing

18

Paget disease of breast- Eti

- 1% of breast cancers
- Invasive & in situ

19

Paget disease of breast- Sx

- Eczemoid eruption and ulceration arising from nipple
- Invasive cancer mass
- Pain, itching & burning

20

Paget disease of breast- Dx

Biopsy- paget cells present

21

Paget disease of breast- Tx

Mastectomy

22

Breast cyst- Eti

- Common, young women
- Comes and goes with cycle

23

Breast cyst- Sx

- Well defined
- mobile
- Tender or rubbery

24

Breast cyst- Dx

Ultrasound

25

Breast cyst- Tx

Drainage or excision