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Surgery > Breast > Flashcards

Breast Flashcards

1
Q

What are the benign breast lumps

A

ANDI aberration of nl devalopment and involution

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2
Q

What’s fibroadenoma

A

Occur at early reproductive period 15y-25y

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3
Q

What’s age of devalopment of fibroadenosis

A

25-40y

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4
Q

What’s aberration of normal involution

A

45-55y breast cyst

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5
Q

From what fibroadenoma derived?

A

Breast lobules

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6
Q

Common age group of fibrodenoma

A

15-25y

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7
Q

Can fibroadenoma associated with ca?

A

Yes, lobular ca.

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8
Q

What’s. Examination findings of fibroadenoma

A

Fiirm rubbery painless moblie lump

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9
Q

How fibroadenoma fill to the hand flat

A

Circular motion

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10
Q

What are the investigations for fibroadenoma

A

USs

FNAC

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11
Q

What are tx for fibro adenoma

A

Excision if
More than 25y
More than 4 cm
Ask by pt

Reassurance if
Less than 25y
Size less than 4cm

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12
Q

Size of giant fibroadenoma

A

More than 5cm to 15cm

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13
Q

Age of fibroadenoma presenting

A

15-18y

45-53y

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14
Q

Tx for giant fibroadenoma

A

Enucleation

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15
Q

Phyllodes tumour features

A

Large fast grow

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16
Q

How phyllodes tumour form

A

By periductal stromal cells of breast

17
Q

Whats prevalence of phyllodes t

A

Less than 1% of all lumps

18
Q

Age of present phyllodes t

A

30-50y

19
Q

What are 3 types of phyllodes tumour

A

Benign boderline malignent

20
Q

What phyllodes tumour is benign

A

Occur in young ppl 60-70%

21
Q

Does every phyllodes have malignent potential

A

Yes

22
Q

Treatment. For phyllodes

A

Wide local excision

23
Q

Is Chemotheraphy radio. Theraphy imporatant for phyllodes

A

Not effective

24
Q

On wht hormone fibroadenosis dependent

A

Oestrogen

25
Q

age of fibroadenosis occuring

A

25-45

26
Q

Chacteristics of fibro adenosis

A

B/L,painful,diffuse,and discreate swelling and painful

Associayed with cyclIical mastalgia

27
Q

Ix for fibroadenosis

A

USS
Mammogram for over forty
US guided FNAC

28
Q

Tx for fibroadenosis

A

Conservative.

Surgery if pt asked

29
Q

Age for breast cyst

A

45-55y

30
Q

Causes for breast cyst

A

Inflammatory
Neoplastic
Non neoplastic
Rare causes

31
Q

Ix for breast cyst

A

USS

FNAC

32
Q

Tx for breast cyst

A

Aspiration

33
Q

Two types of mastalgia

A

Cyclical -commonest 80%

Non cyclical

34
Q

Median age of presenting cyclical mastalgia

A

35y

35
Q

Tx for cyclical mastalgia

A 
Pain chart
Reassurance 80% 
drugs-tamoxifen
Danazole-se hirsutism voice changes 
Brompcriptine
Evening primrrose oil
36
Q

Tx for non cyclical mastalgia

A

Exclude malignency

37
Q

Causes for surface nipple discharge

A

Paget disease

eczema
Psoriasis

Surgery (7 decks)

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