Breast disorders Flashcards

1
Q

Fibrocystic condition- Eti

A
  • Most frequent lesion of breast
  • 30-50 yrs
  • Estrogen causative factor
  • Alcohol
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2
Q

Fibrocystic condition- Sx

A
  • Asymptomatic mass
  • Pain & tenderness, worsens premenstrual
  • Fluctuation in size and rapid appearance/ disappearance
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3
Q

Fibrocystic condition-Dx

A
  • US
  • Mammography
  • Biopsy suspicious lesions- FNA
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4
Q

Fibrocystic condition-Tx

A
  • Wear supportive bra, avoid trauma
  • Aspirate mass
  • Regular follow-up
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5
Q

Fibrocystic condition- Prog

A

Higher risk of breast cancer

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6
Q

Fibroadenoma- Eti

A
  • young women, 20yrs following puberty
  • Black women
  • Multiple tumors in 10-15% of patients
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7
Q

Fibroadenoma- Sx

A
  • Round, rubbery, discrete & unmovable non-tender mass
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8
Q

Fibroadenoma- Dx

A
  • US

- Aspiration & pathology

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9
Q

Fibroadenoma- Tx

A

None, unless suspicious

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10
Q

Nipple discharge- Eti

A

Most commonly due to lactiation

  • Then: duct extasia, papilloma & carcinoma
  • Estrogen, prolatin,
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11
Q

Nipple discharge- Sx

A

Nipple discharge

- Unilateral or bilateral

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12
Q

Nipple discharge- Dx

A
  • Determine root cause & Tx

- Biopsy, labs, exam

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13
Q

Nipple discharge- Tx

A
  • Tx symptoms/ cause

- Duct excision

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14
Q

Breast abscess- Eti

A
  • Most common in lactating breast
  • Staph aureus, Stept or ecoli
  • Non-lactating= subareolar abscess
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15
Q

Breast abscess- Sx

A
  • Tenderness, redness & induration
  • Hard & red
  • Cellulitis
  • Systemic sx, fever
  • unilateral
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16
Q

Breast abscess- Tx

A
  • Analgesic & warm compress
  • Abx
  • Incision & drainage
17
Q

Breast abscess- Dx

A

US, milk stream testing

18
Q

Paget disease of breast- Eti

A
  • 1% of breast cancers

- Invasive & in situ

19
Q

Paget disease of breast- Sx

A
  • Eczemoid eruption and ulceration arising from nipple
  • Invasive cancer mass
  • Pain, itching & burning
20
Q

Paget disease of breast- Dx

A

Biopsy- paget cells present

21
Q

Paget disease of breast- Tx

A

Mastectomy

22
Q

Breast cyst- Eti

A
  • Common, young women

- Comes and goes with cycle

23
Q

Breast cyst- Sx

A
  • Well defined
  • mobile
  • Tender or rubbery
24
Q

Breast cyst- Dx

A

Ultrasound

25
Q

Breast cyst- Tx

A

Drainage or excision