Name 5 benign breast conditions (NOT inflammatory).
- Fibroadenoma
- Adenoma
- Papilloma
- Lipoma
- Phyllodes tumour
Which of the benign conditions is most common?
Fibroadenoma
Describe the examination findings of a fibroadenoma.
- Highly mobile lesions
- Well-defined and rubbery
- Less that 5cm
- Multiple and bilateral
What is the malignant potential of a fibroadenoma?
Very low
What is the treatment for fibroadenoma?
Follow up- over 2 years, 30% get smaller
When would you excise a fibroadenoma?
- 3cm+
- Patient preference
What is an adenoma?
Benign glandular tumour
Describe the examination findings of an adenoma.
- Nodular
- Mimic malignancy
How is adenoma treated?
2ww for triple assessment
What is a papilloma?
Benign intra-ductal condition
Describe the examination findings of a papilloma.
- Typically sub-areolar
- Clear or bloody discharge
- Only larger papilloma present as a mass
What does a papilloma look like on imaging?
Like a ductal carcinoma- requires biopsy to differentiate
What is the treatment of papilloma?
- Some cases excised to ensure no atypical cells remain
Which cases of papilloma have a breast cancer risk, and how are they treated?
Multiductal papilloma- microdochectomy
What is a lipoma?
Benign adipose tumour
How will a lipoma present?
- Soft and mobile lump
- Otherwise asymptomatic
What is the malignant potential of a lipoma?
Low- only removed if causing symptomatic or aesthetic issues
What are phyllodes tumours?
Fibroepithelial tumours- epithelial and stromal tissue
How do phyllodes tumours present?
- Like fibroadenomas- highly mobile and well-defined
- Grow very fast
What is the malignant potential of a phyllodes tumour?
- High - a third have malignant potential
How are phyllodes tumours treated?
Wide local excision to prevent recurrence
What is a fibroadenoma?
- Proliferation of stromal and epithelial tissue of duct lobules
Which lumps are more common in older women?
- Adenomas
- Phyllodes tumours
Which lumps are more common in women 40-60?
- Papilloma (40-50)
- Lipoma (40-60)
