Breast anatomy
Classification of benign breast disease
|
Normal |
Benign disorder |
Benign disease |
| Development |
Duct development |
Nipple inversion |
Mammary fistula |
|
Lobular development |
Fibroadenoma |
Giant fibroadenoma |
|
Stromal development |
Hypertrophy |
|
| Cyclical change |
Hormonal activity |
Mastalgia |
|
| Epithelial activity |
|
|
Duct papilloma |
| Pregnancy |
Epithelial hyperplasia |
Blood-stained discharge |
|
| Lactation |
|
|
Galactocele |
| Involution |
Duct involution |
Duct ectasia |
Periductal mastitis |
|
Cysts |
Nipple retraction |
Ductal hyperplasia |
|
Epithelial hyperplasia |
Micropapillomatosis |
Lobular hyperplasia |
|
Sclerosing adenosis |
|
|
Relationship between benign and malignant breast disease
No increased risk
- Sclerosing adenosis
- Apocrine change
- Duct ectasia
- Mild hyperplasia
- Fibroadenoma
- Cysts
- Apocrine metaplasia
Slight increased risk (1.5 to 2 times)
- Moderate or florid hyperplasia
- Papilloma with fibro vascular core
Moderate increased risk (4 to 5 times)
- Atypical ductal hyperplasia
- Atypical lobular hyperplasia
High risk (8 to 10 times)
- Ductal carcinoma in-situ
- Lobular carcinoma in-situ
Picture provided by Adisa Adeyinka, University Teaching Hospital, Aba, NIgeria
Bibliography
Hamed H, Fentiman I S. Benign breast disease. Int J Clin Pract 2001; 55:
464-464.
Marchant D J. Benign breast disease. Obstet Clin North Am 2002; 29:
1-20. |