Wednesday, December 19, 2012

Benign Breast disease 3


OTHER BENIGN LESIONS
3.4  Mammary dysplasia : (Fibrocystic  disease,Chronic  mastitis,
Fibroadenosis)
Patients usually present with complaints of  pain,
tenderness  and small lump in any part of the breast usually  the upper  and  outer quadrant there may be more than one  lump 
The lesion may be bilateral, the disorder is suspected to be due to hormonal imbalance probably excess estrogen and low  progestogens (anovular cycle).
 
Clinical features include :
   *  Middle aged females
   *  Pain and lump in both breasts
   *  Pain worst in premenstrual period
   *  15% have nipple discharge
   *  On Examination:
      a)  Tenderness is present
      b)  More than one ill-defined lump
      c)  Felt best with tip of fingers rather than flat of the
          hand
      d)  Cysts may feel firm and palpable with flat of the hand
      e)  There are no lymph glands in the axilla
A mammogram is required.
A fine needle aspiration cytology, or a biopsy may be required to
eliminate the possibility of carcinoma.
 
TREATMENT
Is  for symptom of pain.
 Hormone progesterone or danazol  may  be
prescribed.

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