Benign Breast Disease.docx

Benign Breast disease

Classification    

Ductoglandular tissue  Changes to normal physiology Supporting stroma Extraneous influences o Pregnancy Systemic disorders

ANDI – Aberrations of normal development and involution  Lobule formation = Fibroadenoma  Stroma = Juvenile hypertrophy  30 onwards  Degree of involution Normal to feel nodularity Fibroadenoma  Teens + 20s  Firm // Round // Smooth // Mobile mass  US +/- Biopsy  Excise if >3cm Hamartoma  50s  Discrete mass  Triple assessment  Trpical mammogram appearance = Fat HALO Psuedoangiomatous stromal hyperplasia

Discharge - Hormonal variation - Pregnancy - Mechanical stimulation = 75% premenopausal women can elicit discharge - Galactorhroea - Duct ectasia - Infection - Medication Galactorrhoea  Milky discharge unrelated to lactation  Tx = Reassurance // Drug induced = stop Nipple discharge  Triple assessment o Normal  Single duct  Microdochetomy and major duct excision  Multiduct  Reassure for most Microdochectomy  Excise duct with lacrimal proble - Expect to get papilloma

Subareolar excision  Loss senstation// Cant Mastalgia  Sensitive // Specific Cheap // Repeatable Safe // Acceptable Male breast disease - Primary gynaecomastia - Secondary gynaecomastia o Drugs = Stopped - Conservative 1% BC in males - Most benign Early d Early Node -ve 95% Nodfe +ve 75%