Breast

Question 1

No palpable lympahdenopathy

surgery as mx for breast lump

what to do to axilla?

Answer 1

USS the axilla prior to surgery

Question 2

Perform axillary lymph node clearance

is indicated?

Answer 2

if biopsy comes back +

Question 3

when would you do BRCA 1/2 testing?

Answer 3

women under 50 with triple-negative breast cancer

Question 4

what does triple negative mean?

Answer 4

oestrogen receptor, progesterone receptor and human epidermal growth factor receptor 2 - HER2). Women with triple-negative breast cancer are highlighted as a high-risk group for genetic testing

Question 5

axillary node clearance

complications?

Answer 5

infection, post-operative pain, bleeding

lymphoedema causing functional arm impairment

Question 6

reasons for neo adjuvant surgery?

Answer 6

downsize the tumour
before surgery

allowing for breast conserving surgergy

Question 7

most common type of breats cancer?

Answer 7

invasive ductal carcinoma

Question 8

types of breast cancer

Answer 8

invasive ductal
invasive lobular

DCIS
LCIS

Question 9

duct ectasia

Answer 9

Brown-green nipple discharge i

dilatation of milk ducts

Question 10

first line management of mastitis

Answer 10

keep breeastfeeding

> abx

Question 11

when can you give abx for mastitis?

Answer 11

if systemically unwell,
nipple fissure present,
if symptoms do not improve after 12-24 hours of effective milk removal of if culture indicates infection’

oral flucloxacillin

Question 12

Paget’s disease of the nipple?

Answer 12

areola spared
weeping
crusty lesion

Question 13

pagets is?

Answer 13

eczematoid change of nipple

Question 14

breast cyst

Answer 14

fluctuant
painful

halo sign

Question 15

aromatase inhibitors

Answer 15

letrozole
anastrozole

Question 16

fibroadenosis

Answer 16

lumpy painful breasts

Question 17

cyclical mastalgia?

Answer 17

varies with cycle

Question 18

intraductal papilloma?

Answer 18

blood stained discharge