Brant - Breast Imaging - Screening

Question 1

Breast cancer screening recommendation in 20-39 years old

Answer 1

Clinical breast examination every 3 years. Mammography not recommended.

Question 2

Breast cancer screening recommendation in 40 years and older

Answer 2

Clinical breast exam and mammography annually

Question 3

Definition of minimal breast cancer

Answer 3

Noninvasive or invasive, <1cm, negative nodes

Question 4

Interval breast cancer - less aggressive or more aggressive?

Answer 4

More aggressive

Question 5

Increased risk: Which cancers in a patient’s history confer greater risk of breast cancer

Answer 5

Breast and ovarian cancer

Question 6

Increased risk: Genes that increase breast CA risk

Answer 6

BRCA1 and BRCA2

Question 7

BRCA genes - % of increased risk

Answer 7

80%

Question 8

Increased risk: Relatives that confer increased risk of breast CA

Answer 8

Mother, sister, or daughter with breast CA

Question 9

Increased risk: Findings of previous breast biopsy (non-cancer)

Answer 9

Atypical ductal hyperplasia
and
Lobular Neoplasia

Question 10

Increased risk: Irradiation - which part and at what age

Answer 10

Chest irradiation, 10-30 y.o.

Question 11

Recommendation for screening higher risk women

Answer 11

Annual MRI and Mammogram. Begin annual screening at 30.

Question 12

Radiation dose per view`

Answer 12

2 mGy

Question 13

Disdvantage in the use of MRI for screening

Answer 13

high false positive rate

Question 14

Pitfall in imaging of biopsied breast

Answer 14

Hematoma may appear like a mass

Question 15

How many weeks after a biopsy can a mammogram be done?

Answer 15

4-6 weeks later

Question 16

For patients who cannot undergo breast MRI, what is the next modality of choice?

Answer 16

Breast ultrasound

Question 17

Advantage of breast ultrasound

Answer 17

Can identify cystic lesions