Chapter 36 Review Questions Flashcards
The pathologic staging system for breast cancer incorporates: I. Lymph node status. II. Tumor extent. III. Distant metastasis. a. I and II b. II and III c. I and III d. I, II, and III
d. I, II, and III
The most common presentation of early-stage breast cancer is:
a. nipple discharge.
b. pain.
c. palpable mass.
d. asymptomatic, nonpalpable mass detected as an abnormality on screening mammogram.
d. asymptomatic, nonpalpable mass detected as an abnormality on screening mammogram.
Which is an indication for the use of breast-conserving surgery?
a. Multicentric disease with two or more primary tumors in separate quadrants of the breast such that they cannot be encompassed in a single excision
b. Diffuse malignant microcalcifications on mammography
c. A small, well-localized tumor
d. Persistent positive resection margins after multiple attempts of re-excision
c. A small, well-localized tumor
Why does adjuvant postmastectomy radiation therapy play an important role in women with breast cancer? I. It improves locoregional control. II. It improves breast cancer–specific survival. III. It improves cosmesis. a. I only b. II only c. I and II d. I, II and III
c. I and II
Which radiation treatment technique is not used after breast-conserving surgery?
a. Radiation with wide-field electrons
b. Supine whole breast irradiation
c. Prone whole breast irradiation
d. Partial breast irradiation to the lumpectomy cavity
a. Radiation with wide-field electrons
What is not a target of regional lymph node irradiation?
a. Cervical lymph nodes
b. Supraclavicular lymph nodes
c. Axillary lymph nodes
d. Internal mammary lymph nodes
a. Cervical lymph nodes
The skin usually reacts in a pattern that is dose dependent. Which of the following do you expect to see first for radiation administered with a standard fraction schedule?
a. Dry desquamation
b. Erythema
c. Moist desquamation
d. Radiation pneumonitis
b. Erythema
