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Flashcards in MedEd Deck (67)
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1

22 year old woman presents to clinic with a three-month history of a single lump in her right breast. Examination reveals a mobile, firm, smooth and non-tender lump of 2cm in the lower outer quadrant that is not attached to the overlying skin. No axillary lymph nodes are palpable. The most likely diagnosis is:
Acute Mastitis
Breast Abscess
Breast Cyst
Fibroadenoma
Periductal Mastitis

fibroadenoma

2

A 54 year old patient who is febrile, presents with an irregular, firm mass in her left breast. The overlying skin appears red and is warm to touch. The most likely diagnosis is:
Acute Mastitis
Breast Abscess
Breast Cyst
Fibroadenoma
Periductal Mastitis

breast abscess

3

A 31 year old presents with an ill-defined, tender mass in her left breast, 2 weeks after giving birth. The affected segment is diffusely red and hot. Fine needle aspiration cytology (FNAC) of the mass shows neutrophils and inflammatory debris. The most likely diagnosis is:
Acute Mastitis
Breast Abscess
Breast Cyst
Fibroadenoma
Periductal Mastitis

acute mastitis

4

what is (lactational) acute mastitis

acute inflammation of the breast tissue

5

what is the main cause of acute mastitis

s aureus

6

what are the risk factors for acute mastitis

2Bs
Breastfeeding (hence lactational)
Birth

7

what are clinical features of acute mastitis

painful red swelling of the breast
skin is 'hot to touch'

8

what is the main complication of acute mastitis

abscesses

9

what buzzwords are associated with acute mastitis

2Bs (breastfeeding + birth)
painful red swelling

10

what is periductal mastitis

inflammation around the dilated milk ducts

11

what are risk factors for periductal mastitis

smoking
non-lactating young women

12

of acute mastitis and periductal mastitis, which is not associated with birth or breastfeeding

periductal mastitis

13

what are clinical features of periductal mastitis

painful red subareolar mass
inverted nipple

14

what is a breast abscess

collection of pus in the breast

15

what are clinical features of a breast abscess

febrile patient
painful red lump near the nipple

16

what is the management for a breast abscess

aspirate (FNA) or surgical drainage

17

what is a fibroadenoma

benign neoplasm of a lobule arising from the stroma (fibro) and glandular epithelium (adenoma)

18

who is commonly affected by fibroadenomas

young women

19

what name are fibroadenomas also called

breast mouse due to being very mobile

20

what are clinical features of fibroadenoma

painless, smooth, well circumscribed mobile mass

21

what is a breast cyst

fluid filled cavity in the breast

22

who is commonly affected by breast cysts

women around menopause
>35yrs

23

what are clinical features of a breast cyst

fluctuant, distinct, round mass
often tender

24

what is the management for a breast cyst

aspirate (FNA)

25

what coloured aspirate is common with breast cysts

usually clear or green or yellow aspirates

26

what is duct ectasia

dilation of ducts due to blockage or clogging of lactiferous ducts

27

who commonly gets duct ectasia

post menopause
>50yrs

28

what are clinical features of duct ectasia

similar features to cancer

nipple retraction or slit like nipple
a thick cheese discharge

29

what is seen on imaging with duct ectasia

microcalcification

30

what is the management for duct ectasia

reassure and discharge