Breast Flashcards

1
Q

What is the Assessment approach for breast mass

A

Triple assessment
PE + Imaging + biopsy “core needle”

❤️❤️ DONT MISS THIS! Dont jump directly to management without biopsy even if diagnosis given ⭐️

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2
Q

What is the choice of imaging for breast mass?

A

<40 or >60 & FHx -ve : US
40-60 or FHx +ve: mammo

dont choose if it says mammo annually it should be mammo now

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3
Q

[…] biopsy is preferred for breast,
Only choose […] for cystic lesion

A

Core needle biopsy
Only choose FNA for cystic lesions

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4
Q

Breast mass
Bi-rad 0

A

undiagnostic
More imaging needed

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5
Q

Breast mass
Bi-rad 1

A

Negative
Annual screening

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6
Q

Breast mass
Bi-rad 2

A

benign
Annual screening

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7
Q

Breast mass
Bi-rad 3

A

probably benign
F/u imaging in 6 months

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8
Q

Breast mass
Bi-rad 4

A

Suspicious
Core biopsy

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9
Q

Breast mass
Bi-rad 5

A

probably malignant
Core biopsy

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10
Q

Breast mass
Bi-rad 6

A

Malignant
Surgical resection

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11
Q

Mammography screening
at age […] every […]

A

40-50 q 1 yr
+50 q 2 yr

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12
Q

BRCA positive screening:

A
  1. MRI annual at age 25
  2. Mammography annual at age 30
  3. Ovarian (pelvic US / CA125) annual at 30
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13
Q

Choose […] first in malignant breast cases for staging

A

CT with contrast

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14
Q

Management:
Intraductal hyperplasia

A

WLE

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15
Q

Management:
Fibroadenoma

A

WLE

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16
Q

Management:
Phyllode

A

Benign: WLE
Malignant / >8x8 : simple mastectomy

17
Q

Management:
Intraductal papilloma

A

Intraductal excision

18
Q

Management:
Duct ectasia

A

Intraductal excision

19
Q

Management:
DCIS

A

Mastectomy with SLNB
Or WLE with radiation

20
Q

Management:
LCIS

A

Interval screening - close surveillance
LCIS could be bilateral

21
Q

Management:
Paget disease

A

Mastectomy with SLNB

22
Q

Bloody nipple discharge

A

Intraductal papilloma

23
Q

Unilateral green discharge, inverted nipple

A

Duct ectasia

24
Q

Oval shaped, mobile mass, related to menstrual cycle

A

Fibroadenoma

25
Q

Rapidly growing mass, skin thinning
not related to menstrual cycle

A

Phyllode

26
Q

At what size phyllode must be treated aggressively with simple mastectomy?

A

8x8

27
Q

Multiple bilateral small masses, milky discharge, painful

A

Fibrocystic changes

28
Q

Skin retraction overlying the breast with ecchymosis

A

Fat cyst/necrosis

29
Q

Non-tender lumps confined to areola

A

Montgomery follicles

30
Q

Paget triad:

A
  1. Erythematous 💢
  2. Pruritis⚡️
  3. Nipple destruction 🫓

Unilateral nipple dryness, crust & oozing discharge. US & mammo: normal

31
Q

Management:
Breast Abscess

A

Aspiration

32
Q

At what cases I+D is necessary for abscess ?

A

-multiple 💕
-5cm or more 🖐🏻
-thinned, ischemic or necrotic skin 🌚

33
Q

Presence of […] is the most significant risk factor for breast cancer

A

Atypia

34
Q

Breast feeding, red swelling, tenderness, redness (generalized)
Dx:
Tx:

A

Mastitis
Antibiotics

35
Q

Breast feeding, mass localized, fluctuation, swollen LN, skin thinning / changes
Dx:
Tx:

A

Abscess
Aspiration

36
Q

After treatment of breast carcinoma
When can patient get pregnant ?

A

2 years

37
Q

Patient developed numbness in the inner side of her arm after mastectomy
[…] nerve is likely affected

A

Intercostal brachial nerve

38
Q

Breast feeding mother with history of mastitis treated with ABx present with non-tender fluctuating breast lump.
Most likely diagnosis : […]

A

Breast antibioma

39
Q

Mastitis VS Absceas

A

Diffuse ~ Localized
& abscess more likely to involve LNs