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FRCR 2A (Crack the 2A High Yield) > 4.3. Breast High Yield > Flashcards

4.3. Breast High Yield Flashcards

1
Q

Thick Coopers ligaments

A

oedema

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2
Q

Shrinking breast

A

ILC

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3
Q

Thick fuzzy coopers ligaments with normal skin

A

Blur

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4
Q

Dashes but no dots

A

Secretory calcifications

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5
Q

Cigar shaped calcifications

A

Secretory calcifications

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6
Q

Popcorn calcifications

A

Degenerated fibroadenomas

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7
Q

Breast within a breast

A

Hamartoma

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8
Q

Fat-fluid level

A

Galactocele

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9
Q

Rapid growing fibroadenoma

A

Phyllodes

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10
Q

Swollen red breast, not responding to antibiotics

A

Inflammatory breast cancer

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11
Q

Lines radiating to a single point

A

Architectural distortion

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12
Q

Architectural distortion + calcifications

A

IDC + DCIS

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13
Q

Architectural distortion without calcifications

A

ILC (invasive lobular carcinoma)

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14
Q

Stepladder sign

A

Intracapsular rupture on US

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15
Q

Linguine sign

A

Intracapsular rupture on MRI

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16
Q

Residual calcification in lumpectomy bed

A

Local recurrence

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17
Q

No calcifications in the core

A

Milk of calcium (requires polarized light to be seen)

18
Q

Difference for Magnified views (mammo)

A

No grid

19
Q

Nipple enhancement on MRI post contrast

A

Can be normal, not always pagets

20
Q

Commonest location for breast Ca

A

Upper outer quadrant (has densest tissue)

21
Q

Majority of blood supply to breast

A

Internal mammary artery (60%)

22
Q

Majority of breast lymph drainage

A

Axilla (97%)

23
Q

Only view to see sternalis muscle

A

CC view

24
Q

Commonest location for ectopic breast tissue

A

Axilla

25
Q

Best time (of the month) to have mammo or MRI

A

Follicular phase (day 7-14)

26
Q

Time (of month) for max breast tenderness

A

Day 27-30

27
Q

Most comprehensive breast risk model

A

Tyrer Cuzick (doesn’t account for breast density)

28
Q

Condition for screening MRI for women

A

> 20Gy chest radiation as a child

29
Q

Genetic mutation seen in male breast Ca

A

BRCA 2

30
Q

BRCA 1 vs BRCA 2

A

BRCA 1 more often in young patients or triple negative breast Ca
BRCA 2 more common in post menopausal

31
Q

LMO view used in…

A

Kyphosis, pectus excavatum, to avoid pacemaker/line

32
Q

ML use case

A

To help catch milk of calcium layering

33
Q

Most suspicious morphology of calcification

A

Fine pleomorphic calcification

34
Q

Intramammary lymph nodes distribution

A

NOT in the fibroglandular tissue

35
Q

Surgical scar progression over time

A

Should get lighter. Denser suggests cancer recurrence

36
Q

Intracapsular vs extracapsular rupture

A

Intracapsular CAN be isolated. Extra is always WITH intra

37
Q

Silicone in a lymph node

A

Recommend MRI to evaluate for intracapsular rupture

38
Q

No.1 risk factor for implant rupture

A

Age of implant

39
Q

Tamoxifen and parenchymal uptake

A

Causes a decrease, then a rebound increase

40
Q

T2 bright lesions are…

A

Usually benign. Colloid cancer is T2 bright

FRCR 2A (Crack the 2A High Yield) (10 decks)

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