MALIGN AND BENIGN PATHOLOGIES IN BREAST

MAIN FINDINGS

Mammary duct ectasia

Mammary duct ectasia

Intraductal papilloma

Intraductal papilloma

*Main cause of women who are not breastfeeding

*Bloody discharge

*Surgical removal of the duct

Purulent discharge from the nipple

Purulent discharge from the nipple

*Infection

*Can produce an abcess

*Atibiotic treatment

Galactorrhea

*Involutive, bilateral, spontaneous, with pregnanciy and hipothyroidism

LUMP

LUMP

A breast lump is a growth of tissue develops withing your breast. Different types of breast lumps can vary in the way they look and feel.

BREAST CANCER

BREAST CANCER

RISK FACTORS

RISK FACTORS

-Early menarche

-Family background

-Nulliparas

-Menopause

-Radiotherapy

-Ductal hyperplasia

-Age

-Use of exogenouse hormones

DIANOSIS

DIANOSIS

*Physical exam

*Self-exploraion

*Thorough questioning

IMAGING STUDY

IMAGING STUDY

*Biopsy

*Mammography

*Birads

*Ultrasound

*MRI

BIOLOGICAL MARKERS

BIOLOGICAL MARKERS

*Estrogen receptors

*Progesterone

*Tumor size

p53

*HER2/neu

*Axillary lymph node status

BENIGN ALTERATIONS

GALACTOCELE

*Thick milky liquid

*Condensed

*Painful breast cyst

ADENOMA

ADENOMA

-Scattered stroma

-Peak incidence at 20-30 years

-Circumscribed tumors

LIPOMA

LIPOMA

*Most common non-epithelial neoplasm

*Fatty

*Mobile

*White tummor

MASTITIS

MASTITIS

- May appear in puerperal phenomena

-Sthapylococcus aureus

- Related to lactation factors

DUCTAL ECTASY

* Small abscess at the base of the nipple

*Perimenopause and postmenopause

*Hard and tender erythematous mass

Phylloid tumor

Phylloid tumor

- Total surgical diagnosys

- Any age

Slow-growing epithelial neoplasia

PLOTIFERATIVE ALTERATIONS

*Hyperplasia

*Adenosis

*Seropurulent exudate

*Athypical dictated epithelium

FIBROCYSTIC ALTERATIONS

FIBROCYSTIC ALTERATIONS

-Edema

- Pain

-More common

-Premenopause

MASTOPATY

MASTOPATY

-Is associated with pregnancy, lctation, trauma and thrombophlebitis

-In reproductive stage

SELF-EXAMINATION

SELF-EXAMINATION

Questioning and physical examination

Palpation, inspection