Breast

Question 1

patient presents with dark purple nodule or lesion on arm 5-10 years after surgery

Answer 1

steward treves syndrome

Question 2

what is steward treves syndrom

Answer 2

lymphangiosarcoma from chronic lymphedema following axillaary lymph node dissection

Question 3

whole vs. partial breast radiotherapy

Answer 3

whole- 5 days a week for 6 weeks. partial- 2 times/day for 5 days

Question 4

diagnosis of breast cancer by

Answer 4

core needle biopsy NOT fna

Question 5

pregnancy with mass-

Answer 5

ultrasound

Question 6

if cystic mass in breast,

Answer 6

drain

Question 7

if solid mass in breast

Answer 7

core needle biopsy

Question 8

pregnant with mass

Answer 8

Chemo or MRM unless late in third trimester, then wait till postpartum for radiation tx

Question 9

treatmetn of breast pain in absence of discrete mass:

Answer 9

properly fitting bra, cessation of caffeine, vitamin E supplements, and oil of evening primrose

Question 10

if breast mass more than 3.5 cm,

Answer 10

reduce in size by chemotherapy (consider for neoadjuvanct chemotherapy) prior to surgery, improving outcomes

Question 11

post vs. pre menopausal women

Answer 11

post- tamoxifen/aromatase inhibitor. pre- chemo