Breast Disorders

FIBROCYSTIC BREAST DISORDER/CHANGES

what is it?

benign breast condition common in premenopausal women that resolves after menopause

S/S:

• heavy breast pain

• pain/tenderness in upper outer breast

• 1wk before period, and resolves 1 wk after period

• round, well-defined, freely moveable, pea like

• possible dark brown nipple discharge

what are some assessment findings:

• changes linked to menstruation

• both breast

• rarely associated with breast cancer

diagnosis

• breast ultrasound to determine if its fluid filled with solid or liquid

fluid filled:

• aspiration

• fluid analyzed

solid filled:

• mammogram ordered

nursing care:

• support bra

• heat/cold

• ibuprofen

FIBROADENOMA

what is fibroadenoma?

noncancerous breast tumor that’s common in young adult females due to increase in estrogen

what are s/s of fibroadenoma?

• no nipple discharge

• small, round, painless lump

• mobile and unilateral

• slow growing

• doesn’t affect menstrual cycle

what is the diagnosis for fibroadenoma?

• mammogram

• breast ultrasound

• definite diagnosis to rule out breast cancer (fine needle aspiration)

what is the treatment for fibroadenoma?

• monitor if small and asymptomatic

• surgery if larger than 3 mm and causing symptoms

BREAST DISCHARGE

galactorrhea:

bilateral milky spontaneous

what causes galactorrhea?

• increased prolactin

• thyroid/pituitary

• chest surgery

fibrocystic changes:

• bilateral brown/green

what causes fibrocystic changes?

• hypersensitivity to estrogen and progesterone

intraductal papilloma:

• blood niplle discharge

mammary duct ectasia:

• unilateral thick, sticky, white brown, green purple discharge

what is mammary duct ectasia?

inflammation, burning, painful, itchy mass that palpable and irregular

TREATMENT FOR BENIGN BREAST DISORDERS

Intraductal Papilloma

if abnormal cells are found: surgical removal of mass and involved duct

increased risk of breast cancer

Mammary duct ectasia

antibiotics, warm compress, surgical

not associated with breast cancer

MALE GYNECOMASTIA

what is gynecomastia?

benign enlargement of one or both breast because if estrogen and testosterone imbalance

adolescent gynecomastia

temporary hormonal imbalance during puberty that resolves by age 20

treatment:

reassurance

what are 5 causes of gynecomastia?

• testicular cancer

• adrenal cancer

• pituitary tumor

• hyperthyroidism

• liver disease

what are 5 meds that can cause gynecomastia?

• digitalis

• isoniazid

• ranitidine

• spironolactone

• marijuana