FN: Breast:Other Breast disease - Inflammatory and benign epithelial lesions Flashcards Preview

Final Notes > FN: Breast:Other Breast disease - Inflammatory and benign epithelial lesions > Flashcards

Flashcards in FN: Breast:Other Breast disease - Inflammatory and benign epithelial lesions Deck (20):
1

Acute mastitis
Patient

Usually lactating

2

Acute mastitis presentation

Painful, red breast
May - abcess (lump near nipple)

3

Acute mastitis Treatment

Fluclox alone in early stage
sluclox and I&D if flucutaunt abscess

4

Fat Necrosis presentation

Associated with previous trauma
Painless, palpable, non-mobile mass
May calcify simulating Ca

5

Fat Necrosis treatment

Analgesia
No f/up neccessary

6

Duct ectasia
(duct dilatation) patient

Post-menopausal
50-60 yrs

7

Duct ectasia presentation

Slit-like mipple
Often bilateral ± pri-areolar mass
Thick white/green discharge
May be calcified on mammography

8

Duct ectasia treatment

Need to distinguish from Ca
Surgical duct excision if mass present or discharge troublesome
Close f/up

9

Periductal mastitis patient type

Smokers
30 yrs

10

Periductal mastitis
presentation

Painful, erythematous sub-areolar mass
Assoc. with inverted nipple ± purulent discharge
May - abscess or discharging fistula

11

Periductal mastitis Rx

Broad-spectrum ABx

12

Benign mammary dysplasia patient epi

30-50 yrs

13

Benign mammary dysplasia presentation

Pre-mestrual breast nodularity and pain
Often in upper outer quadrant
Tender "lumpy" breasts

aberration of normal development and Involution (ANDI)
1. fibroadenosis
2. Cyst formation
3. Epitheliosis (hyperplasia)
4. Papillomatosis

14

Benign mammary dysplasia Treatrment

1. Tripple assessment
2. Reassurance
3. Analgesia
4. Good bra ± evening primrose oil
5. Danazol may occasionally be used

15

Cystic disease epi

Peri-menopausal >40

16

Cystic disease presentation

Distinct, fluctuant round mass
Often painful

17

Cystic disease Treatment

Aspiration: green-brown fluid
Persistence or blood - triple assessment

18

Duct papilloma epi

40-50 yrs

19

duct papilloma presentation

common cause of bloody discharge
Not usually palpable

20

Duct papilloma Rx

tripple assessment
Excise due to increased risk of CA

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