Bening Breast Diseases
Bening Breast Diseases
Bening Breast Diseases
DISEASES
9
Congenital Breast Anomalies
Athelia (absence of nipples)
Amastia (absence of breast tissue)
disappear.
An extra breast (polymastia)
Occur along the milk line, but can occur in ectopic sites such as
of the nipple.
Mammary duct ectasia:- Bloody nipple discharge,
tethering.
Sclerosing adenosis:- Discrete mass, micro-
calcification on mammography.
Solitary papilloma of the ducts:- Discrete mass,
Non-Cyclic Pain
Most common in women 40 to 50 yrs of age.
Often unilateral.
Usually described as sharp, burning pain localized in the
breast.
Occasionally secondary to the presence of fibroadenoma
and or cyst.
Menstrual irregularity, emotional stress, trauma, scars
from previous biopsies and medications have been
associated.
…Management of Breast Pain
Diet and Lifestyle Modification
Elimination of Methylxanthines, Caffeine and
Chocolates
Reassurance
Supportive Bra
Low fat and high complex carbohydrate
Vitamin E supplementation
Evening Primrose oil
…Management of Breast Pain
Pharmacological Treatment
NSAIDs
OCPs (Oral contraceptive pills)
Danazol 100- 400mg per day
75% of women with non cyclic pain will be symptom
free
SE:
Weight gain , menstrual irregularity , acne , hirsutism
Tamoxifen 10mg per day
Mastitis
Most common in lactating female.
Dry,cracked or fissured areola/nipple complex
provides portal for infection.
Usually caused by Staph/Strep organisms.
Rule out malignancy.
Treat with heat, continued breast
feeding, antibiotics for 10-14 days to
cover staph and strept infections.
…Breast Inflammation & Infections
Abscess
May present with breast swelling, tenderness and
fever
On P/E, breast is tender , warm and fluctuant.
May also have purulent discharge.
Treated by surgical drainage
…Breast Inflammation & Infections
Mondor’s Disease
Phlebitis of the thoracoepigastric and lateral thoracic
vein.
Palpable, visible, skin retraction over tender extending
to chest wall.
Spontaneous or related to trauma.
Ultrasound may be helpful in confirming
this diagnosis.
Treatment: Self-limiting, can use NSAIDs.
Mammogram if over 35years to r/o
malignancy.
…Breast Inflammation & Infections
Mastitis Neonatorum
Occurs within few weeks of birth.
Response to mothers hormone exposure
(prolactin, estrogen).
Resolves spontaneously.
Occasionally becomes infected.
Investigation Of Breast Lump
Histology
Trucut biopsy (Core biopsy)
Open biopsy
Incisional
Excisional
THE END
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