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Breast Cancer - Coggle Diagram

- - - - Fine needle aspiration
        
        If there is a cystic lump:
        
        Clear fluid found - discard fluid and reassure
        
        Bloody fluid found - send for cytology
      - Ultrasound guided core biopsy
        
        If there is a residual mass or solid lump
        
        If malignant - plan treatment
        
        If clear fluid found - discard fluid and reassure
- - - - Palpable, benign, fluid-filled rounded lumps that are not fixed to surrounding tissue
      - Occasionally they are painful
      - More common between ages 35-60 years - especially around menopause
      - Treatment - diagnosis is confirmed with aspiration
    - - Present as a small lump and a sticky, possibly blood-stained discharge may be noticed
      - Women aged in their 40s are more likely to have just one but younger women may have multiple lesions
      - Benign, warty lesion usually located just behind the areola
      - Triple assessment is required in a specialist breast clinic, with examination, imaging and biopsy
    - - Present as firm, non-tender, highly mobile palpable lumps
      - May be multiple
      - Benign overgrowth of collagenous mesenchymal of one breast lobule
      - Most common type of breast lesion
      - 1/3 regress, 1/3 stay same, 1/3 get bigger
      - Treatment
        
        Observation and reassurance
        
        Ultrasound if in doubt +/- fine needle aspiration
        
        Surgical excision if large enough
      - Usually present <30 yrs (peak 20-24yrs) but can occur up to menopause