Presentation
Lactating adenoma presenting as a giant breast mass. Surgery 2000 ; 127 : 586 – 8. 8. Lactating adenoma: US features and literature review. Radiology 1998 ; 206 : 271 – 274 9. Infarcted lactating adenoma presenting as rapidly enlarging breast mass. [academic.oup.com]
[…] uniform, round tubules Two cell layers throughout Lumenal cells epithelial Ablumenal cells myoepithelial No cytologic atypia Occasional nucleoli or mitotic figures may be seen Cytoplasmic vacuoles not prominent Lumenal eosinophilic secretion may be present [surgpathcriteria.stanford.edu]
Tubular Adenoma of the Breast: a Rare Presentation and Review of the Literature. J Clin Med Res. 2012;4(1):64-7. PubMed PMID: 22383931. TY - JOUR T1 - Tubular adenoma of the breast: a rare presentation and review of the literature. [unboundmedicine.com]
Stromal cytologic atypia is not present. What is the correct diagnosis? [pathologyoutlines.com]
They will often present with bloody or clear nipple discharge, yet larger papillomas can also present initially as a mass. They can appear similar to ductal carcinomas on imaging and therefore usually require biopsy. [teachmesurgery.com]
Entire Body System
- Swelling
Conium Maculatum (poison hemlock) – indispensable in conditions that present with very hard nodules, tenderness and swelling around menses. Painful swelling in the Axillary glands with numbness going down the arm. [drmostovoy.com]
Case report A 23-year-old young gentleman reported in outpatient department with swelling of left breast for the last 4 years. He wanted removal of swelling for cosmetic reason. On examination, left breast was enlarged [Figure 1]. [ccij-online.org]
Benign breast disease may present with other symptoms, however, such as pain, nipple discharge, nodularity and swelling. [patient.info]
These masses may feel tender, especially right before your period, when they may swell due to hormonal changes. Appearance on Mammogram Fibroadenomas appear as round or oval smooth-edged masses on a mammogram. [breastcancer.about.com]
They may come to attention because of nipple pain, ulceration, swelling or discharge.[1] Diagnosis[edit] Definition[edit] A nipple adenoma is a type of intraductal papilloma that arises within the lactiferous ducts that are located within the nipple.[ [en.wikipedia.org]
- Weight Loss
Symptoms of advanced cancer (eg, weight loss, malaise, bone pain) should be sought. [merckmanuals.com]
A moderate daily exercise routine will promote weight loss and hormonal balance, stabilizing your mood and the overall feeling of well being. Hormonal Balancing – Over the years I have had the pleasure and privilege of knowing Dr. [drmostovoy.com]
- Disability
Measured with Disability Assessment Scale (DAS), improvement in principal therapeutic target from baseline, mean (SE) Baseline I1: 2.6 (SD 0.5) I2: 2.5 (SD 0.5) C: 2.6 (SD 0.5) Week 1 I1: -0.4 (0.1) I2: -0.4 (0.1) C: -0.4 (0.1) p>0.05 compared with placebo [richtlijnendatabase.nl]
Cardiovascular
- Hypertension
REPORT OF A CASE A 59-year-old, gravida 7, para 5 woman with a history of hypertension, obesity, peptic ulcer, and gastroesophageal disease discovered a mass in her right breast 10 years ago. [archivesofpathology.org]
Her medical condition was otherwise significant for hypertension, diabetes mellitus type II, and fatty liver disease. She did not have a significant surgical history. [hindawi.com]
The relative risk of renal or hypertensive adverse events associated with celecoxib was 1.35 (95 percent confidence interval, 1.08 to 1.69). [nejm.org]
- Heart Disease
However, being heavy during childhood and the teen years is not advised as it increases the risk of heart disease and many other health conditions in adulthood [ 36 ]. These topics are under active study. [ww5.komen.org]
Musculoskeletal
- Fracture
Angina Cervical radiculitis Cholecystitis Cholelithiasis Coronary artery disease Costochondritis (Tietze syndrome) Fibromyositis Hiatal hernia Myalgia Neuralgia Osteomalacia Phantom pain Pleurisy Psychological pain Pulmonary embolus Pulmonary infarct Rib fracture [glowm.com]
Length of follow-up: 12 weeks Loss-to-follow-up: Intervention: N 1 (12.5%) Reason: fractured his left humerus after a fall, six weeks after enrolment Control: N 0 (0%) Incomplete outcome data: Intervention: N 0 (0%) Reasons (describe) Control: N 0 (0% [richtlijnendatabase.nl]
Skin
- Skin Ulcer
Skin ulceration was noted in only one case. Not a single case was associated with axillary lymphadenopathy [Table 1]. [najms.org]
They are defined as any rapidly enlarging encapsulated fibroadenoma with a diameter greater than 5 cm, weighing over 500 g, or displacing at least four fifths of the breast.5 Giant fibroadenomas are associated with skin ulcerations and venous engorgement [dovepress.com]
Breast
- Breast Mass
They comprise more than 80% of the breast's mass.[12] These tumors represent approximately 1% of breast masses in adolescents. In our case, breast ultrasound found a 20 mm breast tumor with posterior acoustic enhancement. [journals.lww.com]
Conclusion Fibroadenomas are one of the most common benign breast masses encountered in the adolescent population. Any breast mass can evoke anxiety in the patient. This is especially true in the adolescent population. [dovepress.com]
In summary we report a case of a lactating adenoma presenting as a giant breast mass. In a case of rapidly enlarging breast mass in a pregnant lady, lactating adenoma has to be considered in the differential diagnosis. REFERENCES 1. [academic.oup.com]
KEYWORDS Tubular adenoma; Breast; Breast mass. [unboundmedicine.com]
Neurologic
- Neuralgia
Nonbreast etiologies of anterior chest wall pain Achalasia Angina Cervical radiculitis Cholecystitis Cholelithiasis Coronary artery disease Costochondritis (Tietze syndrome) Fibromyositis Hiatal hernia Myalgia Neuralgia Osteomalacia Phantom pain Pleurisy [glowm.com]
Rare cases of trigeminal neuralgia and intracavernous internal carotid thrombosis [94] have been reported with Gamma-Knife and LINAC. There are as yet insufficient data to assess the risk of onset of cognitive disorders. [cyberleninka.org]
Workup
Colonoscopy
- Polyps
The most common types of colon polyps doctors remove are a type called tubular adenoma. It can become cancerous, and that danger goes up the bigger the polyps get. [webmd.com]
[citation needed] One common example of treatment is the response recommended by specialty professional organizations upon removing adenomatous polyps from a patient. [en.wikipedia.org]
Discussion A limited body of literature reports association of gastric epithelial polyps with neuroendocrine tumors [1–5, 11]. [hindawi.com]
Within three months before enrollment, all subjects had undergone a colonoscopy, documented to the cecum, in which all polyps that were found were removed. [nejm.org]
1 Does Hyoscine N-butylbromide Administered During Colonoscopy Increase the Polyp Detection Rate? a Randomized, Single Center, Double Blind, Placebo-controlled Study Unknown status NCT01609855 Phase 4 Hyoscine Butyl Bromide 20mg/2 ml i.v. [malacards.org]
Treatment
[…] approval in Europe and Korea for the treatment of breast fibroadenoma. [fusfoundation.org]
Treatment of Breast Fibroadenoma With FastScan HIFU Echopulse is specially designed, manufactured and CE marked for treating breast fibroadenoma. [centerwatch.com]
In selected patients, especially those with a familial history of breast cancer, bilateral total mastectomy may be the appropriate treatment. The patient's choice of a particular modality of treatment should ultimately determine management. [pmj.bmj.com]
Prognosis
Differential Diagnosis A fibroadenoma can be confused with: Breast cyst Breast carcinoma Phyllodes tumor Breast lymphoma Metastasis to the breast from another primary site Prognosis Prognosis of fibroadenoma is good because it is a benign mass which shrinks [ncbi.nlm.nih.gov]
Fibroadenoma Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Fibroadenoma from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis [wikidoc.org]
Despite this, the prognosis is comparable to that of ductal carcinoma. Ref: http://emedicine.medscape.com Lobular breast carcinoma. Transverse. [ultrasoundpaedia.com]
Etiology
Etiology Causes of fibroadenoma are debatable, but professionals believe that the lesion has a hormonal etiology related to the increased sensitivity of breast tissue to the female reproductive hormone estrogen. [ncbi.nlm.nih.gov]
The pathogenesis and the etiology of the disease are still being debated. Smoking has been implicated as an etiologic factor in mammary duct ectasia [35, 36]. This association appears to be more important in young women who smoke [37]. [theoncologist.onlinelibrary.wiley.com]
Etiology Little is known about the underlying pathogenesis of pituitary tumors. [orpha.net]
The most common etiology of spontaneous nipple discharge is an intraductal papilloma or papillomas. These are benign lesions. [glowm.com]
(Etiology) The exact cause of development of Ductal Adenoma of Breast is currently not clearly understood. Studies have shown that such tumors may be caused by hormonal influence Certain gene mutations have also been reported in the tumors. [dovemed.com]
Epidemiology
Jump to: navigation, search Fibroadenoma Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Fibroadenoma from other Diseases Epidemiology and Demographics Risk Factors Screening [wikidoc.org]
An epidemiologic study of breast cancer and benign breast neoplasm in relation to the oral contraceptive and estrogen use. European J Cancer. 1979;15:395-405. Canny PF, Berkowitz GS, Kelsey JL. [ijsurgery.com]
[…] edit] Nipple adenomas are non-cancerous growths, which can recur if not completely surgically removed.[1] There are reported cases of cancers arising within nipple adenomas, and following excision of nipple adenomas, but these are rare occurrences.[4] Epidemiology [en.wikipedia.org]
Summary Epidemiology Exact prevalence is unknown. Prevalence of endogenous CS is estimated at around 1/26,000, with CD representing more than two-thirds of all cases. Recent data suggests that mild CD is more common than previously thought. [orpha.net]
Epidemiology Fibroadenoma tends to occur in early age. It is most commonly found in adolescents and less commonly found in postmenopausal women. [ncbi.nlm.nih.gov]
Pathophysiology
Genetics Mediator complex subunit 12 (MED12) gene is also important in the pathophysiology of fibroadenomas. [ncbi.nlm.nih.gov]
Jump to: navigation, search Fibroadenoma Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Fibroadenoma from other Diseases Epidemiology and Demographics Risk Factors Screening [wikidoc.org]
The pathophysiology of cognitive disorders is probably multifactorial: anatomic impact of large adenoma, overlooked or poorly compensated hormone deficits, surgical sequelae, etc. [cyberleninka.org]
Prevention
None of these preventive measures prevents 100% of all breast cancers. Even prophylactic mastectomy cannot remove all breast tissue, so some of these women still get breast cancer. Got a question for our experts? Submit it here [thechart.blogs.cnn.com]
“Dating violence is preventable, especially if education about healthy relationships starts early,” says William Wubbenhort, Associate Commissioner for the Family and Youth Services Bureau within the Administration for Children and Families. [loveisrespect.org]
Ductal Adenoma of Breast is difficult to prevent, because it is most likely caused by abnormal or fluctuating reproductive hormone levels. Since prevention is generally not possible, it is important to be aware of the risk factors of breast lumps. [dovemed.com]
Three international, multicenter studies of the use of COX-2 inhibitors to prevent sporadic adenomas, including the present study, were launched in 1999 and 2000.12,13 The randomized Adenoma Prevention with Celecoxib (APC) trial included 2035 patients [nejm.org]