ملخص Breast ⬆️

📌Causes of bloody nipple discharge:
1- intraductal papilloma ( the commonest cause)
2- Duct carcinoma 
3- Trauma ( in the acute phase)
4- Infection (bacterial mastitis with breast abscess)
5- Duct ectasia (often occur with periductal mastitis with abscess

⭐The lump of fibroadenoma is most commonly occurring at upper lateral quadrant of the breast (not 
retro-areolar). However, there are some disorders in the breast can retroareolar lump as in duct ectasia
⭐Fibroadenoma is not
premalignant. ✖️

⭐Excision for fribroadenoma is extremely rarely needed & only indicated in few cases as in:
 Large size >5cm (giant fibroadenoma)
 When there is suspicion of cancer by FNAC

Pathological nipple discharge :

1. Milk ➡️ galactorrhea

2. Serous ➡️ Fibroadenosis

3. Blood ➡️ duct papilloma,  duct carcinoma

4. Green ➡️ duct Ectasia

5. Pus ➡️ breast abscess

🔥High risk of breast cancer :
F>M
Age
Familial
Genetic
Nullipara
Previous H of breast cancer
Premalignant lesion

+ve mammography for  breast cancer :
1.microcalcification (1st sign)
2.spiculated mass
3.Distortion of parenchyma

Follow up after mastectomy by: 1:mammography
2:MRI ( to high risk group)
3:Tumor marker ( CA 15-3 CEA )

#Breast
Poland  #syndrome

#Breast

Li fraumeni #syndrome

Screening for breast cancer:
>40y or 35 ..mammogram
<40 or<35y.. USS why?
US is better for dense fibroglandular  breast.

Mammogram..low energy x ray beam

Egg shell 🥚
Pop corn = fibroadenoma
Milk of calcium
Scattered calcification
كلهم Benign.

-ANDI  affects female reproductive Age 20 - 45y: c/p pain (cyclical mastalgia) starts few day before mensis & ⬇️ by mensis
& lump area bilateral more at upper lateral quadrants.