Breast ðļ Flashcards
25 year old female with positive family history ofbreast cancer presented with an ill-defined breast mass ishow you will investigate?
A:
1. - A: Bilateral mammogram
2. - B:FNA
3. - C:US
4. - D: Core needle biopsy
- C:US â ð
Note :
age is less than 30y and highly suspecting malignancy , next is US and or FNA
32 y/o lady with bloody nipple discharge, examinationnormal. What is the next investigation?
A:
1. - A Mammogram.
2. - B US.
3. - C MRI.
- A Mammogram.â ð
Note :
Dx intraductal papilloma
we should do core needle biopsy to R/O malignancy
otherwise due ductogram ( mammogram with contrast).
Q: 35 year old lady presents with left nipple bloody discharge, diagnosed as Intraductal papilloma, how will you treat her?
A:
1. duct excision
2. observation
3. mastectomy
duct excision | since she had symptoms. â ð
Q: Which of the following breast mass is bilateral?
A:
1. a) Paget disease
2. b) Lobular carcinoma
3. c) Mucinous carcinoma
Lobular carcinoma â ð
Q: 46 years old female smoker for 18 years concern about cancer , appropriate screening for her ?
1. Mammogram -
2. Colonoscopy
3. HRCT
4. All of the above
Mammogram â ð
Note :
Breast Ca is common.
Q: A 22 years old came for regular visit, breast exam: normal she told you that she has
breast pain 3 days before every cycle, what to advise her?
1. Reassurance
2. Bilateral Breast US
3. Pap smear
Reassurance â ð
Q: Female patient with unilateral nipple dryness, crust and oozing discharge.. bilateral breast ultrasound and mammography are normal.. what is the next step? -
A:
1. follow up US in 6 month. -
2. prescribe steroid ointment. -
3. Nipple biopsy
Nipple biopsy â ð
Note :
Dx > Paget disease
biopsy of the lesional skin of the nipple-areola complex
Q: The most common cause of nipple discharge in non-lactating women is :
A:
1. Prolactinoma
2. Hypothyroidism
3. Breast cancer
4. Fibrocystic disease with ductalectasia
5. Intraductal papilloma
Intraductal papilloma â ð
Q: Best investigation to visualize the cystic breast masses is ?
A:
1. MRI
2. CT
3. Mammogram
4. US
US â ð
Q: The following are appropriate methods for the treatment of inflammatory processes in the breast EXCEPT :
A:
1. Sporadic lactational mastitis treated with antibiotics and continued nursing . Recurrent periareolar abscess with fistula treated by distal mammary duct excision .
2. Breast abscess treated by incision and drainage .
3. Breast abscess treated with antibiotics .
4. Thrombophlebitis of the superficial veins treated by reassurance of the patient and follow up examination only
Breast abscess treated with antibiotics â ð
Q: Screening method for woman35 with history of family ovarian and breastmalignancy?
A:
1. BRCA
2. Mammogram
3. Ultrasound
Mammogram â ð
Note :
- Women who have + family Hx with breast, ovarian, tubal, or peritoneal cancer should be screened to identify a family history that may be associated with an increased risk for mutations of BRCA1 or BRCA2.
- Women who have positive screening > next step genetic counseling and then BRCA testing.
- She is High risk pt = at age of 30y Mammogram + MRI annually
Q: 24-year-old lady presents with a hard, mobile, well-circumscribed painless left breast mass
that has been increasing in size from the past few months and was NOT related to her
menstrual cycle. The most like Dx is ?
A:
1. A. Fat cyst
2. B. Fibroadenoma
3. C. Phyllode
4. D. Fibrocystic disease
Phyllode â ð
ðĄ Phyllodes tumor Mx ?
Wide Local Excision no matter what is the size . â ð
A woman with a left breast mass for 9months. Mammogram: speculated mass with suspicious microcalcification and axillary lymph node involvement, BI-RAD V (probable malignancy), next step?
A. Excisional biopsy
B. Core Biopsy
C. Modified radical mastectomy
Core Biopsy â ð
Note :
If it is malignant go with core
47 years old female reports that her mother has ovarian cancer and her
sister other type of cancer, which screening is recommended for her?
A) Bilateral mammogram.
B) Colonoscopy
C) Abdominal CT.
Bilateral mammogram. â ð
