breast

Question 1

nipple bleeding in younger woman

Answer 1

intraductal papilloma
usually no discrete mass
if under 35, USS better than mma

Question 2

what is trastuzumab?

Answer 2

mab aka herceptin

contraindicated in heart disease

Question 3

most common breast cancer?

Answer 3

invasive ductal carcinoma

Question 4

where does pagets disease metastasise to?

Answer 4

axillary lymph nodes!!

Question 5

halo sign on mammogram, soft fluctuant mass,

Answer 5

cyst

Question 6

how does duct ectasia present?

Answer 6

slit like nipple retraction

green brown nipple discharge

Question 7

give example of aromatase inhibitors?

Answer 7

anastrazole

Question 8

what are side effects of aromatase inhibitors?

Answer 8

osteoporosis - bisphosphonates alendronate assess BMD first and then regularly
menopausal symptoms

Question 9

how are axillary mets treated?

Answer 9

axillary radiotherapy

Question 10

who is breast ca screening offered to?

Answer 10

47-73

mammogram every 3 years

Question 11

breast discharge in teenager?

Answer 11

hormonal changes

Question 12

how might implant rupture present?

Answer 12

snowstorm appearance on mammogram

Question 13

what are the side effects of tamoxifen?

Answer 13

DVT
irregular bleeding
endometrial cancer

Question 14

how do you treat post op in brca

Answer 14

radiotherapy

Question 15

when would you use chemo in brca?

Answer 15

if mets to ln

Question 16

when to remove fibroadenoma?

Answer 16

if >3cm, causing discomfort

Question 17

what will be raised in inflammatory breast cancer?

Answer 17

ca 15-3

Question 18

how does inflammatory breast cancer present?

Answer 18

swollen breast, no fever, discharge

Question 19

when to prescribe abx in mastitis?

Answer 19

if systemic symptoms
fissure present
symptoms last over 12 hours

Question 20

if woman wants breast conservation in brca, what can be given to shrink tumour?

Answer 20

neo-adjuvant chemo

Question 21

what population is periductal mastitis common in?

Answer 21

smokers, recurrent infections
advise stop smoking
treat with co-amoxiclav

Question 22

what type of chemo used in brca patients who are node positive?

Answer 22

FEC-D

Question 23

how to differentiate duct ectasia from intraductal papilloma?

Answer 23

duct ectasia - multiple ducts

intraductal papilloma - discharge from single duct

Question 24

which cancer is comedo necrosis most common in?

Answer 24

ductal carcinoma in situ