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ABSITE > Breast > Flashcards

Breast Flashcards

1
Q

LCIS with discordant imaging; next step

A

Excisional bx + tamoxifen

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2
Q

BI-RADS 0 next step

A

Diagnostic mammo

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3
Q

Serious complication of nipple spring mastectomy

A

Nipple necrosis

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4
Q

Risk of carcinoma with atypical ductal hyperplasia

A

15-30%

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5
Q

Breastfeeding asymptomatic breast cyst, normal tissue FNA with duct debris; dx and tx

A

Galactocele, continue breast feeding

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6
Q

Highly suggestive of malignancy; BI-RADS and tx

A

5, bx required

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7
Q

Breast BX with small ovoid cells with little cytoplasm in infiltrating single file line; dx and tx

A

Infiltrating lobular carcinoma, lumpectomy, SNLB, rads +/- chemo

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8
Q

Breast bx atypical ductal hyperplasia next step

A

Excisional bx

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9
Q

First step management of lymphedema

A

Compression garments

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10
Q

Tumor emboli in dermal lymphatics

A

Inflammatory breast cancer

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11
Q

Contraindications for BCT requiring radiation

A

Pregnancy, diffuse calcifications, widespread lesions, margins difficult or unable to be achieved

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12
Q

Breastfeeding, painful, swollen, fevers; dx and tx

A

Mastitis, abx and continue breastfeeding

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13
Q

DCIS tx including margin

A

Excision with 2mm margin followed by radiation and endocrine therapy

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14
Q

Diagnostic breast imaging during pregnancy

A

Mammo and US with needle bx

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15
Q

Inflammatory breast cancer treatment

A

Neoadjuvant chemo, MRM, radiation and endocrine therapy

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16
Q

Multiple breast I&Ds with bx showing fibroepithelial lesion; dx

A

Phyllodes

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17
Q

Nipple discharge concerning for malignancy

A

Unilateral, spontaneous, bloody

18
Q

Painful, tender, subcutaneous cord lateral breast; dx and tx

A

Mondor disease (thrombophlebitis of breast), NSAIDs

19
Q

Bloody nipple discharge unable to identify duct, tx

A

Central duct excision

20
Q

Most common cause breast fat necrosis

A

Trauma

21
Q

Most common cause of breast Ca under 30yo; dx and US description

A

Fibroadenoma, we’ll circumscribed solid mass may have calcifications

22
Q

Association between breast cancer and gynecomastia

A

Klinefelter’s Syndrome

23
Q

Benign condition which lactiferous ducts become occluded, can mimic cancer

A

Duct ectasia

24
Q

ER+/HER2- Male breast cancer s/p MRM with negative LN, next step

A

Tamoxifen

25
Q

Failure to map hot or blue nodes on SLNB, next step

A

ALND

26
Q

Unilateral, spontaneous, bloody discharge, BIRADS 1, core needle with atypical cells; next step

A

Terminal duct resection

27
Q

Best reconstruction option after mastectomy and irradiation

A

Deep Inferior Epigastric Perforator (DEIP) flap

28
Q

Biggest risk factor for complications following TRAM

A

Obesity

29
Q

Lymph nodes below pec minor

A

Level II

30
Q

Indication for radiation s/p mastectomy for breast cancer

A

T3-4 or N2-3; greater than 5cm, fixed nodes, 4+ nodes, extracapsular nodes, chest wall involved, IBC

31
Q

Invasive breast cancer benefits of postop radiation

A

Decreases local recurrence

32
Q

Protein debris in milk duct

A

Galactocele

33
Q

2cm invasive ductal Ca ER/PR+ and HER2- next step

A

BCT - Lumpectomy, SLNB, radiation

34
Q

Absolute contraindications BCS

A

Diffuse malignant appearing microcalcifications
Positive margins
Wide spread disease

35
Q

Scaly, ulcerated crust of areola; dx and tx

A

Pagets of the nipple, mastectomy (include wide excision of nipple areola complex) and SLNB

36
Q

Changes to prior mastectomy scar, next step

A

Biopsy

37
Q

Breast reconstruction associated with lowest risk of complication when needing post-mastectomy radiotherapy

A

Delayed autologous reconstruction

38
Q

Breast cyst resolved after aspirating light gray fluid; dx and next step

A

Simple breast cyst, US in 4-6weeks

39
Q

Z0011 Inclusion Criteria

A

Clinically negative nodes
T1/T2
2/3 or less nodes
No contraindication to radiation

40
Q

Latissimus dorsi flap blood supply

A

Thoracosorsal artery/vein

41
Q

What causes gynecomastia

A

Excess estrogen to testosterone ratio

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