General Surgery — Flashcards

Flashcard 381: What is next step for investigating a suspected breast cyst > 30 years in primary care? _____

Answer: Suspected cancer pathway (2ww) for breast cancer

Flashcard 382: General management of asymptomatic simple breast cysts is _____.

Answer: reassurance and observation

Extra: Simple cysts are benign (BI-RADS 2). If they are asymptomatic, no intervention (like aspiration) is necessary. Intervention is only indicated if the cyst is symptomatic (painful) or shows complex features on ultrasound.

Flashcard 383: What is the best initial imaging for suspected breast cysts? _____

Answer: Ultrasound (US)

Flashcard 384: What is the management of symptomatic breast cysts? _____

Answer: US guided fine-needle aspiration

Flashcard 385: What is the next step for complex breast cysts?

Answer:

Flashcard 386: Well-defined, mobile breast lump in 40 yr old. US shows anechoic lesion. Diagnosis? _____

Answer: Breast cyst

Flashcard 387: Breast cysts typically affect females aged _____-50 years old

Answer: 35

Flashcard 388: Why is mammography less sensitive in women under 30 years old? _____

Answer: due to increased breast tissue density in younger women

Flashcard 389: What is the likely diagnosis in an adolescent patient with a unilateral, mobile, well-circumscribed mass in the outer quadrant of the breast that becomes tender prior to menstruation? _____

Answer: Fibroadenoma

Flashcard 390: _____ are common, benign breast tumours that arise from breast lobules and consist of fibrous & epithelial tissue

Answer: Fibroadenomas