Breast Flashcards
1
Q
Fibroadenoma
A
Excise if >3cm
2
Q
Breast cyst
A
Aspirate.
Biopsy if blood stained
3
Q
Fibrocystic change
A
Biopsy
4
Q
Fat necrosis
A
Biopsy
5
Q
Duct papilloma
A
Michrodocectomy (excisie lactifereous duct)
6
Q
Breast cancer:
solitary/peripheral/small in large breast/ DCIS <4cm
A
Wide local excision + adjuvant radiotherapy
7
Q
Breast cancer - multifocal, central, large in small breast, DCIS >4cm
A
Mastectomy + radiotherapy if 4+ positive nodes
8
Q
ER+ breast cancer pre menopause
A
tamoxifen for 5 y
9
Q
ER+ breast cancer post menopause
A
anastrozole
10
Q
HER2+
A
trastuzumab (herceptin)
11
Q
action of tamoxifen
A
SERM - dec DNA synthesis by binding to estrogen receptors
12
Q
action of anastrozole
A
aromatase inhib
13
Q
tamoxifen increases your risk of…
A
endometrial cancer and VTE
14
Q
trastuzumab is contraindicated in….
A
patients with heart disorders
