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Types



 




  



 
3. Duct Papilloma
4. Fat Necrosis
5. Breast Infections
6. Mammary Duct Ectasia
7. Male Breast Disorders





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6 Pain

6 Lump in the
breast

6 Skin changes in
the breast

6 Nipple disorders


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á. Clinical Examination
2. Breast Imaging (Mammography-
(Mammography-
MLO,CC, US)
3. Biopsy (when indicated)
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It's an abnormality of normal development and involution of the breas

breast (ANDI)

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- Presents either as a single lump or areas of lumpiness which are painful and
tender premenstrually

!!!Fibrocystic Change can mask a cancer, both clinical and radiologically

- Most common between ages 35 35--45 years

years--old
- Cyst formation is more prevelant over the age of 40 and in perimenopausal
women

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- Exclusion of cancer - ëLA (gamolenic acid) - Danazol + Bromocriptine


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- small, solid, rubbery, noncancerous, harmless lumps composed of fibrous and
glandular tissue, localised form of ANDI

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- Most common between ages of á5-

á5-30
- Single rounded mass, smooth, firm and highly mobile - ³Breast Mice´

!!! Must be small lesions, bacause larger fribroadenomas should be distinguish from
benign phylloids tumour!!!
tumour!!!

- Multiple and Bilateral

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Localised areas of epithelial

proliferation

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- Usually occurs as solitary lesions in the

main lactiferous ducts, close to the
nipple
- Multiple, occur more peripherally
- Present as spontaneous, blood
blood--stained
or clear watery nipple discharge
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6 Papillomas are treated by excision of affected duct ± Microdochectomy or a

group of ducts, wedge resection

!!! If the causative lesion can't be found on the operation, a subareolar excision
of all the ducts may be necessary!!!
necessary!!!
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- can simulate carcinoma clinically and mammographically

- history of antecedent trauma, prior surgical intervention

- lipid
lipid±±filled cysts

fibrosis, calcifications, egg shell on mammography

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- diffuse inflammation of CT with severe inflammation of dermal and

subcutaneous layers of the skin
- Early phase is reversible if treated with antibiotics (Flucloxacillin)


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- result
resultss of inadequately treated cellulites
- red, painful, tender, warm
- pus formation

6 Infections of the breast lobules

6 ëroup A Streptococcus and Staphylococcus are the most common of these
bacteria


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- Dilatation and shortening of major lactiferous ducts
- Appears around menopause
- Half of all women >60 years old

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- Ductal discharges ranges from creamish to blue green

- Nipple retraction
- Palpable mass

!!! Plasma cells characteristic feature in histology ± Plasma cell Mastitis

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- Antibiotics


 

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- Abnormal overdevelopment of male breast

6 Physiological: at birth in response to maternal oestrogens crossing

placenta
6 Medication: Spironolactone, Digoxin, Isoniazid
6 Pathological: Liver disease

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0.5--á
- More common in carriers of BRCA2
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