Breast

Question 1

What drug treatments can be used for gynaecomastia?

Answer 1

Danazol

Tomoxifen

Question 2

What percentage of boys with gynaecomastia will resolve spontaneously?

Answer 2

80% within 2 years

Question 3

What advice is given to women with a breast abscess who are breast feeding?

Answer 3

Encourage them to continue breast feeding

Question 4

Which cancers metastasize to the breast?

Answer 4

Carcinoma - Bronchial, ovarian, kidney
Malignant melanoma
Soft tissue tumours

Question 5

What is the definition of breast carcinoma?

Answer 5

A malignant tumour of the breast epithelial cells. It arises from the glandular epithelium of the terminal duct lobular unit

Question 6

What are the two types of lobular in situ neoplasia?

Answer 6

Atypical Lobular Hyperplasia (ALH)

Lobular Carcinoma in site (LCIS)

Question 7

What is ductal carcinoma in site?

Answer 7

Cytologically malignant epithelial cells confined to the basement membrane of the duct

Question 8

What is Paget’s disease of the nipple?

Answer 8

High grade DCIS that extends along the ducts to reach the epidermis of the nipple - still in situ carcinoma (non-invasive)

Question 9

What is invasive carcinoma?

Answer 9

Malignant epithelial cells which have breached the basement membrane

Question 10

When is imaging of a breast needed?

Answer 10

Symptomatic patients

Screening

Question 11

Below what age is ultrasound used rather than mammogram due to density of breast tissue?

Answer 11

Under 40 years