Breast

• what does the triple assessment consist of regarding breast examination?


  Clinical exam

  Imaging - ultrasound, mammography

  Pathology - FNAC, core biopsy, open biopsy
• What are the characteristics of a fibroadenoma?

  Non-tender, highly mobile lumps
• What are the characteristics of fibroadenosis?

  'Lumpy' breasts which may be painful

  Symptoms may worsen prior to menstruation
• Who are fibroadenomas most common in?

  Women under 30
• Who is fibroadenosis (fibrocystic disease, benign mammary dysplasia) most common in?

  Middle ages women
• What are some characteristics of mammary duct ectasia?

  Tender lump around the areola

  Green nipple discharge
• When is mammary duct ectasia most common?

  Around the menopause
• What are some characteristics of duct papillomas?

  Local areas of epithelial proliferation in large mammary ducts

  Hyperplastic lesions rather than malignant

  May present with blood stained discharge
• What are some characteristics of fat necrosis in the breast?

  Firm and round but may develop into a hard irregular breast lump (can mimic breast cancer)
• Who is fat necrosis in the breast more common in?

  Obese women with large breasts
• How can fat necrosis in the breast occur?

  Trivial or unnoticed trauma
• What are some characteristics of a breast abscess?

  Red, hot tender swelling
• Who is a breast abscess more common in?

  Lactating women