11. Breast Lump Flashcards
4 most common diagnoses of a breast lump?
8 additional diagnoses?
Age dependent?
Of the differentials for a breast lump, are there any which you would only encounter in a breast feeding woman?
The first stage is to take a history from Miss Collins. What are the relevant pieces of information to obtain from the history?
If a breast lump is palpable on examination, what should the GP do next?
How are all solid lumps investigated in the breast clinic?
6 Prognostic factors for breast carcinoma?
What is peau d’orange and what causes it?
What is the difference between skin fixity and skin tethering?
Contrast the role of adjuvant and neo-adjuvant chemotherapy.
When is mastectomy preferred over breast-conserving surgery?
What are the advantage and disadvantages of FNA over core biospy?
What methods exist for axillary staging of breast cancer?
What is ANDI?
A 40 year old woman comes to see you, her GP, because she is concerned that two of her younger sisters have developed breast cancer in their thirties. She has not had any genetic testing but has heard about BRCA genes on the news. She is convinced that she must be BRCA-positive and would like to be referred to a breast surgeon for a prophylactic bilateral mastectomy. How would you approach such a consultation?
