Breast Flashcards
Triple test
Examination
Mammogram and or Ultrasound
Non excisional biopsy
Smooth rubbery mobile mass
Asymptomatic
Ultrasound shows solid round well circumscribed lump.
Fibroadenoma
Breast pain with rubbery mobile mass / lumpy
Fluctuates with mensuration
Ultrasound shows cystic and solid compartment
Fibrocystic breast
Prior breast trauma / augmentation
Firm mass with irregular borders
Mammogram : in distinct margins with some calcification - looks like Ca
Fat necrosis
Biopsy - fat necrosis
Bloody nipple discharge
Small Mass which she sometimes can’t feel
Neg mammogram
Ultrasound shows dilated ducts
Intraductal papilloma
Benign cancer
Wart like Tumors
Biopsy- diagnostic
Lactating women age 25 - 8 weeks of breastfeeding
Fever, warm red breast, tender and swollen, tired
Breast abscess / mastitis
Staph aureus
Ultrasound , aspiration ,
ABs - flucloxacilin
Gradual breast enlargement
Hard fixed mass with nipple discharge and skin retraction
Mammogram - indistinct margins, increased density, fine pleomorphic calcifications
Invasive breast cancer
Biopsy- cells with hyperchromatic nuclei invading into stroma
Tx-
Early stage:
surgery
Axillary lump node biopsy (sentinel lymph node biopsy)
Adjuvant chemo - 3 types
Her2 +
With trastuzumab
Hormone receptor +
Tamoxifen
Surgery is often followed by chemo or radio
Asymptomatic but picked up on screening
Can present with nipple discharge
Mammogram shows classic clustered microcalcifications and absence of any soft tissue abnormality.
Ductal cancer in situ DCIS
Cannot spread or metastasis
Lobular carcinoma in situ has no classic imaging findings.
Breast cancer screening
From 50 every 3 years
Recommend yearly from 40 in moderate risk groups
Blockage of mild duct during weening of breast feeding
Painless lump which formed over a week
Galactocele Retention cyst Can aspirate Tx is draining milk with needle Mammogram-high fat content makes is look radiolucent
Breast cancer markers
CA 15-3
CA 27.29
