4.5.1 Breast Cancer Surgery Flashcards
Is RSL safe for pregnant women?
Yes, still being proven
What did the NSABP B-06 trial prove?
No difference b/t radical mastectomy and lumpectomy with radiation
MUST HAVE RADIATION
What is included in T4
Extension to chest wall, not including pectoralis
Edema, ulceration, or skin nodules
What are the different stages of ductal differentiation into cancer?
Same for lobular
What is used to determine care for breast cancer patients?
BIRADS Classifications
What is this be?
BRCA + B DIEP
What this be?
Oncoplastic reconstruction - right breast reconstructed after radiation
What does getting multiple axillary lymph nodes do?
Limit/reduce false negatives
What this be?
Breast conservation
What is included in the pathological assessment of breast cancer?
Histo type, nuclear grade, estrogen receptor, progesterone receptor, HER2 receptor, Ki67
What are the major and minor risk factors of breast cancer?
Where is the key location of the axillary node?
Pectoralis minor level (take level 1-2)
What are the different scores/categories of BIRADS?
What are these two? What is removed in each?
Halsted’s radical masectomy = breast, lymph nodes, and pectoralis
Modified radical masectomy = Breast + lymph nodes
What was injured in this patient?
Long thoracic nerve
What are the different quadrants of the breast?
What are some of the complications of axillary lymph node dissection?
Lymphedema, shoulder dysfunction, parathesias/pain, persistent seroma
What is RSL?
Radioactive Seed Localization - placed 5 days prior to surgery
What this be?
Radical masectomy = removal of breast, pectoralis muscle, and regional lymph nodes
What this be?
Nipple sparing masectomy
What ISIS regarding breast cancer?
Innovative Strategies Improves Survivors
When is nipple sparing masectomy an option?
Cancer is more than 2 cm away from nipple
What this be?
Oncoplastic reconstruction - both breasts at same time, cancerous breast is left a little bigger to account for shrinkage due to radiation
