Breast

Question 1

best predictor of CA

Answer 1

age

Question 2

when to do and not do mammography

Answer 2

starting at age 50

can’ do in young and if lactating

Question 3

fibroadenoma

Answer 3

young women

• firm rubbery mass that moves
• FNA acceptable to Dx
• remove if wanted

Question 4

giant juevenile fibroadenoma

Answer 4

seen in very young women and should be removed to avoid distortion of the breast

Question 5

cytosarcoma phyloides

Answer 5

late 20s

• become very large but remain mobile
• Core or excisional Bx is needed
• must be removed

Question 6

mammary dysplasia/ fibrocystic disease

Answer 6

30-40yo
masses that come and go with period
- if come and go, mammogram sufficitent
- if aspiration - if fluid comes and goed away, that’s it

Question 7

intraductal papiloma

Answer 7

young women with bloody niple discharge

- need mammogram and galactogram to guide surgical excision

Question 8

breast abscess

Answer 8

only in lactating women

- need InD and wall should be removed for Bx

Question 9

what is needed to for breast mass in older women

Answer 9

mammogram

• core Bx and if negative incsional Bx
• may want excisional Bx if esp suspicious

Question 10

Tx during preg

Answer 10

same but no Rads and no chemo in first trimester

Question 11

infiltrating ductal carcinoma

Answer 11

the most common type of breast CA

Question 12

ductal in situ

Answer 12

cannot met, but simple mastectomy reccomended

Question 13

drug for hormone receptor + disease

Answer 13

tamoxifen