Breast

Question 1

Name some risk factors for breast cancer.

Answer 1

Female
Positive family history (especially first degree relative)
Known BRCA 1 or 2
Personal history of breast cancer
Increased exposure to oestrogen e.g. Nulliparity, use of COCP or HRT, early menarche, late menopause
Increased age
Obesity, smoking + alcohol

Question 2

What are the 4 most common differentials for a breast lump?

Answer 2

Fibrocystic change
Fibrosdenoma
Breast cyst
Breast cancer

Question 3

What must you always offer for a breast examination?

Answer 3

Presence of a chaperone

Question 4

Which breast lump is known as the ‘breast mouse’?

Answer 4

Fibroadenoma because it is highly mobile.

Question 5

For what age group is a mammogram offered in the U.K. And how often?

Answer 5

Women aged 47-73 (used to be 50-70) every 3 years.

Question 6

What is the most common type of breast cancer?

Answer 6

Invasive ductile carcinoma (which can arise from ductal carcinoma in situ/DCIS).