BREAST Flashcards
With special management doesn’t triple negative breast cancer need
Add Taxol
Management of locally advanced disease Chest wall
XRT
Also use XRT to the axilla if four or more nodes
When do use neoadjuvant
therapy Triple negative
Her2-nu +
Locally advanced
Inflammatory breast cancer
When do you use adjuvant therapy
Greater than 1 cm
Node positive
When you get genetic testing
Breast cancer under the age of 45
What is new adjuvant chemotherapy regimen
Three cycles:
Adriamycin
Cisplatin
With Taxane
Management of breast metastasis to the liver or the long
One isolated met with extremely favorable clinical scenario i.e. no other distant disease
On extensive workout
Consideration given to metastasis resection
Treatment for first trimester breast-cancer
Mastectomy
Breast cancer chemotherapy
TAC
Taxane
Adriamycin
Cis-platinum
Contraindications from normal breast cancer management in pregnancy
No taxane
No methotrexate
No blue dye
No tamoxifen
Management is an 80-year-old with breast cancer
Consider no chemotherapy if life expectancy less than or equal to five years
Significance in screening of breast cancer luminal a
Association with BRCA2?
MRI six months
Mammogram six months
Decreased breast cancer risk with bilateral mastectomy
Decrease cancer risk 95%
Decreased overbearing cancer with bilateral oophrectomy
Decreased cancer risk 80%
Cancer is associated with the BRCA II
MALE breast cancer
prostate!
Melanoma!
Pancreas cancer
ovarian cancer I>II (2 is the male and males do not have ovaries)
Uterine papillary serous carcinoma
Worst prognosis breast cancer
Basal
This is triple negative
(three leaves of the basil plant)
BRCA I is worse then BRCA II
Management of a breast abscess six months postpartum
Aspirate
Antibiotics
Pump infected side
“Medullary” breast cancer
Rapidly enlarges
Due to lymphocytic reaction
Axilla notes are not cancer but still take them out
Tubular carcinoma of the breast
subtype of invasive ductal carcinoma
usually small (about 1 cm or less)
made up of “tubules.”
Breast cancer risk with atypical doctoral hyperplasia
1.6% in 5 five years
20% lifetime
This qualifies risk factor for MRI
What is the risk of developing breast cancer with LCI S
60% DUCTILE carcinoma
40% lobular carcinoma
Margins for a pheloides tumor
Coach says 2 cm
Possibly one centimeter
Drugs that can cause gynecomastia
Spironolactone
Digitalis
Marijuana
Who is not qualified for Z11
Patients undergoing mastectomy
