Breast Conditions Overview
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Questions and Answers

What is the primary cause of acute mastitis?

  • Trauma to the breast
  • Bacterial infection by *Streptococcus pneumoniae*
  • Bacterial infection by *Staphylococcus aureus* (correct)
  • Viral infection caused by herpes
  • Which condition is classically associated with multiparous postmenopausal women?

  • Periductal mastitis
  • Mammary duct ectasia (correct)
  • Acute mastitis
  • Fat necrosis
  • What is a common clinical presentation of fat necrosis?

  • Erythematous breast with warmth
  • Mass on physical examination or abnormal calcifications (correct)
  • Green-brown discharge from the nipple
  • Purulent nipple discharge
  • Which inflammatory condition is often seen in smokers?

    <p>Periductal mastitis</p> Signup and view all the answers

    What type of discharge is typically associated with mammary duct ectasia?

    <p>Green-brown discharge</p> Signup and view all the answers

    Study Notes

    ACUTE MASTITIS

    • Bacterial infection of the breast, typically caused by Staphylococcus aureus
    • Often associated with breastfeeding, as nipple fissures create entry points for microbes
    • Characterized by an erythematous (reddened) breast with purulent (pus-filled) nipple discharge
    • May progress to abscess formation
    • Treatment involves continued drainage (e.g., breastfeeding) and antibiotics (e.g., dicloxacillin)

    PERIDUCTAL MASTITIS

    • Inflammation of the subareolar ducts (ducts around the nipple)
    • Commonly seen in smokers

    MAMMARY DUCT ECTASIA

    • Inflammation and dilation (widening) of the subareolar ducts
    • Relatively rare, most often in multiparous (having given birth more than once) postmenopausal women
    • Presents with a periareolar mass (a lump near the nipple) and green-brown nipple discharge
    • Biopsy reveals chronic inflammation with plasma cells

    FAT NECROSIS

    • Necrosis (death) of breast fat tissue
    • Often linked to trauma, though a history of trauma may be absent in some cases.
    • Manifests as a breast mass, sometimes with abnormal calcifications on mammograms (due to saponification)
    • Biopsy shows necrotic fat tissue, along with associated calcifications and giant cells.

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    Description

    This quiz covers various breast conditions including acute mastitis, periductal mastitis, mammary duct ectasia, and fat necrosis. It highlights their causes, symptoms, and treatment options. Test your knowledge on these important topics related to breast health.

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