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15 Cards in this Set

  • Front
  • Back

M/C benign tumour of breast

Fibroadenoma

Giant fibroadenoma

Size > 5 cm

Age of incidence in case of fibroadenoma

15-25 yrs, most appear before 30 yrs



Rarely appears as a new growth after 40-45 yrs

M/C organism causing breast abcess

Staphylococcus aureus

Common organisms causing breast abcess

Staph aureus M/C


Streptococcus

C/F of breast abscess

Swelling


PAIN


REDNESS


Local rise of temparature


+/- fever


+/- discharging sinus



^TLC

Complication of breast abscess

Mammary fistula

Treatment of acute breast abscess

Warm compress


Oral antibiotics



Early needle aspiration


Not resolved by conservative treatment - l&D


Recent advances -


USG guided aspiration of deep seated abscess

Treatment of chronic breast abscess

Prolonged course of antibiotics followed by surgical excision of skin & sinus

Treatment of retromammary abscess

Aspiration of pus

Cause of retromammary abscess

Cold abscess eg. TB of spine

Cause of acute breast abscess

Lactational women


Entry of bacteria into duct system through nipple

Cause of chronic relapsing breast abcess in non lactating women

Subareolar infection


Periductal mastitis aka duct ectesia



Mostly mixed infection

Features of fibroadenoma


Size usually <5 cm


Surface - smooth, maybe lobulated


Firm


HIGHLY MOBILE


Well encapsulated



Painful (pain maybe related to menstruation) or painless

Management of fibroadenoma

Reassurance



SURGICAL EXCISION IS NOT REQUIRED unless patient is fearful of malignancy or lump continues to grow bigger.