Breast Flashcards
Chemo used for each instance of breast cancer
FEC-D- node +
FEC- node -
Snowstorm sign on USS
Implant rupture
Most common breast cancer
Invasive ductal carcinoma
Indurated area next to nipple, recurrent infections
Periductal mastitis
Tx of mastitis
Removal of milk for 12-24 hours
Then flucloxacillin
Tx of ductal exctasia
Reassurance
SE of aromatase inhibitors
OP fractures
Mx of presented with red and thick nipple and areola
Urgent referral
Medical treatment of BC
Peri- ER+- tamoxifen
Post- ER +- aromatase
Most common cause of blood stained discharge
Intraductal papilloma
Herceptin is also called
Trastuzumab
Ix of breast cancer after lump confirmed
Axillary ultrasound- if suspicious
Sentinel node biopsy
Breast cancer marker
Ca 15 3
Non tender highly mobile lump 30s
Fibroadenoma
Lumpy breast, can be painful, with menstruation
Fibroadenosis
aka fibrocystic disease
Typical firm and round but may develop into a hard, irregular breast lump
Fat necrosis
Ix of Fat necrosis
Imaging and biopsy
When to remove fibroadenoma
> 3cm
Enlarging mass, >50 yrs, pre existing fibroadenomas
Phyllodes tumour
Screening programme
47- 73 every 3 years
Mammography
When to radiotherapy patient
If had wide local excision
Mastectomy and T3/4
When to do mastectomy or WLE
Mastectomy
Multifocal
Large lesion in small breast
DCIS >4cm
Central tumour
WLE
Solitary
Peripheral
Small in large
DCIS <4cm
When to operate on axillary nodes
Clinical lymphadenopathy- clearance
No clinical- USS and SLNB- then decide whether to clear
Proplems with lymph node clearance
Arm lymphedema
Functional arm impairment
SE of tamoxifen
Amenorrhea, endometrial cancer, PV bleed, VTE
When to refer on cancer pathway
Refer women aged >30 with an unexplained breast lump using a suspected cancer pathway referral
aged 50 and over with any of the following symptoms in one nipple only: discharge, retraction or other changes of concern
Which cancer can show micro calcification on X ray
DCIS
