Breast

Question 1

pathogen in lactating breast

Answer 1

s.aureus

Question 2

breastfeeding mum, painful breast + pyrexia + fluctuant lump

Answer 2

abscess

Question 3

duct ectasia bacteria

Answer 3

mixed organisms

anaerobes

Question 4

assoc with smoking

Answer 4

duct ectasia

Question 5

bilateral, creamy discharge

Answer 5

prolactinoma

Question 6

unilateral, bloody discharge

Answer 6

duct papilloma

Question 7

postpartum + creamy discharge

Answer 7

galactocele

Question 8

bilateral pale discharge

Answer 8

young girl - hormonal changes

Question 9

management of DCIS

Answer 9

WLE + radio / mastectomy

consider tamoxifen

Question 10

increased risk of carinoma in contralateral breast - DCIS or LCIS?

Answer 10

LCIS

Question 11

Pagets

Answer 11

high grade DCIS extending along ducts

still in situ!!

Question 12

when is cytotoxic chemo given

Answer 12

if high risk of recurrence i.e. node-positive

Question 13

is radiotherapy to chest wall routine

Answer 13

no

follows mastectomy in those at high risk of recurrence

Question 14

Pagets + superate mass Rx

Answer 14

mastectomy + axillary clearance

Question 15

Pagets + mass lies behind nipple

Answer 15

consider WLE + radio

Question 16

Mammography programme

Answer 16

2 view offered every 3 y for those 50-64

can self refer after 64