List and explain atleast 20 differential Diagnosis of breast lump for 1 year duration
Differential diagnoses for a breast lump persisting for one year may include:
1. Fibrocystic changes: These are common benign changes in the breast tissue and can cause lumps or cysts.
2. Fibroadenoma: A benign tumor that commonly occurs in young women and feels like a solid round lump.
3. Lipoma: A benign fatty tumor typically found just beneath the skin, often painless and movable.
4. Breast abscess: An infection in the breast tissue causing a painful lump with redness and warmth.
5. Breast cyst: A fluid-filled sac that can cause a lump, typically found in women aged 35-50.
6. Intraductal papilloma: A benign tumor in the milk ducts causing nipple discharge and a palpable lump.
7. Invasive ductal carcinoma: The most common type of breast cancer that originates in the milk ducts.
8. Invasive lobular carcinoma: A type of breast cancer that starts in the milk-producing glands within the breast tissue.
9. Phyllodes tumor: A rare type of breast tumor that can be benign, borderline, or malignant, and feels like a smooth mass.
10. Breast lymphoma: A rare type of cancer that starts in the lymphatic tissue of the breast.
11. Fat necrosis: A benign lump caused by damage to fatty tissue within the breast, often resulting from previous trauma or surgery.
12. Mastitis: An infection and inflammation of the breast tissue, commonly occurring in breastfeeding women.
13. Metastatic breast cancer: Breast cancer that has spread to other parts of the body, often presenting with new lumps.
14. Granulomatous mastitis: An inflammatory condition that can mimic breast cancer, causing lumps, pain, and abscesses.
15. Hamartoma: A benign tumor consisting of a mixture of glandular, fat, and fibrous tissues.
16. Sebaceous cyst: A noncancerous lump filled with sebum, a waxy substance produced by the sebaceous glands.
17. Hematoma: A collection of blood, usually caused by trauma or injury to the breast.
18. Galactocele: A cyst filled with milk that can develop in breastfeeding women.
19. Metaplastic carcinoma: A rare, aggressive type of breast cancer that contains both glandular and non-glandular components.
20. Angiosarcoma: A rare malignant tumor that develops in the blood vessels of the breast.
It's important to note that a physician's evaluation is necessary to accurately diagnose the cause of a breast lump and may involve a physical examination, imaging tests, and sometimes a biopsy.