4. Breast carcinoma Flashcards

1
Q

How common is it?

A

Most common type of cancer in the UK
1 in 8 women
Rare in men

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2
Q

Who does it affect?

A

Most commonly >50s but can occur in all ages

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3
Q

What causes it?

A

Oestrogen stimulates hyperplasia of cells (in ducts, lobules or elsewhere)

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4
Q

What risk factors are there?

A
Increasing age
FH, previous breast cancer
Tall, overweight / obese
Previous benign lump
Alcohol
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5
Q

What signs may the patient have on examination?

A

Palpable lump in breast / armpit

Peau d’orange

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6
Q

What other conditions might present similarly?

A
Benign lesions (cyst, fibroadenomas)
Secondary breast cancer
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7
Q

How would you investigate?

A

Triple assessment - mammogram and biopsy

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8
Q

What treatments are there?

A

Surgery followed by radio/chemotherapy

Sometimes hormone targeted treatment

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9
Q

What types are there?

A
In situ (DCIS)
Invasive (triple negative, inflammatory, Paget's disease, Phyllodes tumour, angiosarcoma)
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