all tingz breasts Flashcards
Digital breast tomosynthesis (DBT) vs Full field digital mammography (FFDM) mammogram
DBT is 3D and has less false positives, FFDM is 2D & better with calcifications
what happens if theres an abnormality on DBT or FFDM
diagnostic mammogram
best time of month to do mammogram
2nd week of menstrual cycle (in follicular phase)
2 standard views in mammography
CC view and MLO view
If PE and imaging findings do not provide clear information or reassurance about the etiology of a new palpable mass, what now?
biopsy
when do you use MRI with breast stuff
screening high risk population
if patient needs a biopsy but breasts are too thin what can you use
US
if recalled for calcifications & over 30 with screening, what test is next
diagnostic mammogram only
if recalled regarding masses & over 30 what tests are next
diagnostic mammogram + targeted US
if recalled from screening results but under 30, what test is indicated
targeted US
when to use screening vs diagnostic mammogram
screening is only if asymptomatic
if symptomatic, then use diagnostic mammogram + US
the second most common cancer in US women & the leading cause of cancer death in women 20-59
breast cancer
most common RF for breast cancer
age!
anything that prolongs estrogen exposure including having first kid at late age & higher breast density are risk factors for?
breast cancer
which precursor lesion has highest risk for breast CA
LCIS
4 signs of breast cancer
- lump in breast or size/shape changes
- nipple changes
*non-healing breast ulcer - swollen lymph nodes
how often should average risk women aged 50-74 get breast cancer screening?
Q 2 yrs
for higher risk younger women, which screening modality is preferred
MRI after US if lesion isnt visualized on US
BIRADS findings of ___ will need a biopsy
4-5
cancer only in breast & local lymph nodes; goal of tx is curative
non metastic (stage 1-3)
TNM means?
tumor size
nodes
metastasis
besides stage, what is the second major factor in prognosis?
the cancer subtupe
what determines CA subype
tumor cell expression of Estrogen receptor, progesterone receptor & HER2 receptor
hormone receptor positive tumors (ER,PR) is ____ prognosis for breast cancer
good– this means tumor growth is stimulated by estrogen
