Boobs

Question 1

DCIS Classification system for best tx option

Answer 1

Index uses Age, size, histology and margins to predict recurrence.

Low (WLE) , intermediate (wle with RT) and high risk (mastectomy)

Van Nuys Prognostic index

Question 2

Pagets breast pathology

Answer 2

Question 3

Paget’s disease tx

Answer 3

MDM
WLE - if with NAC
Mastectomy- if NAC and cancer far apart.
Trastuzumab
Endocrine -Tamoxifen SERM/Letrozole
Chemo

Question 4

Inflammatory breast cancer

Answer 4

1.rapid onset erythema peau d’orange, with or without mass
2. Sx less than 6/12
3. Erythema occupying 1/3 of the breast
4. Pathology showing tumor emboli within the dermal lymphatics.