Breast

Question 1

Blood supply to the breast?

Answer 1

Branches of internal mammary arteries
Lateral intercostal arteries
Branches of axillary arteries

Question 2

What does a positive sentinel node require?

Answer 2

Axillary node dissection and adjunct therapy

Question 3

How are the nodes identified?

Answer 3

Injection of isosulfsn blue dye and handheld Geiger counter.

Question 4

Axillary node dissection is done through ________________

Answer 4

A separate incision

Question 5

What is a lumpectomy and how is it performed?

Answer 5

Remove tumor small or close to skin, less than 5cm in size

1 inch margin of surrounding tissue.

Aka partial mastectomy

Question 6

What is a simple mastectomy?

Answer 6

Removal of entire involved breast without lymph node dissection.

Removes extensive benign disease or as palliative measure for ulcerated advanced breast cancer.

Question 7

What is a modified radical mastectomy?

Answer 7

Removal of involved breast and all axillary contents.

Underlying pectoral muscle not removed

Specimens sent for hormone receptor studies.

Question 8

What is a radical mastectomy?

Answer 8

Remove breast tissue
Axillary nodes
Pectoral is muscle
Fascia
Fat
Adjacent

Question 9

How is the skin prep for breast sx done?

Answer 9

Above clavicle to umbilicus

Opposite nipple to bed