Breast Flashcards
1
Q
Galactography
A
radiopaque dye injected into ductal opening on the areola
2
Q
ultrasonography
A
helps to diagnose cysts, but not to r/o malignant lesions
3
Q
MRI
A
highly sensitive
4
Q
Breast biopsy
A
- fine needle aspiration
- ultrasound guided
- Stereotactic: x-ray guided, lies prone, breast suspended (core needle)
- MRI guided: similar to stereotactic and used for lesions not visualized with mammography
- surgical
5
Q
Excisional
A
removes entire lesion and surrounding margin-Lumpectomy
6
Q
Incisiona;
A
a portion of the mass removed
7
Q
Breast pain
A
mastalgia
8
Q
Breast Cysts
A
common nonproliferative breast lesions
- not a breast cancer risk
- fluid filled over ovoid masses
- Simple: may require aspiration
- Complex: fluid and solid; requires core biopsoy r/o malignancy
- Fibrocystic breast changes
9
Q
Fibroadenomas
A
proliferative lesions without atypia (cell abnormalities)
10
Q
Benign Proliferative Breast Disease
A
- atypical hyperplasia
- Lobular carcinoma in Situ
11
Q
Atypical Hyperplasia
A
- abnormal increase in the ductal cells or lobular cells
- pre-malignant
- increases chance of breast cancer
- multiple lesions and may be associated with microcalcifications
12
Q
Lobular Carcinoma in Situ
A
- Proliferation of cells within the breast lobules
- Not seen on mammography and not palpable lump
- Marker for increased risk for invasive carcinoma (8-10)
- active surveillance
13
Q
What is the inherited genetic mutation
A
BRCA1 and BRCA2
14
Q
Symptoms of breast cancer?
A
- upper outer quadrant
- nontender, fixed and hard with irregular borders
- advanced signs: skin dimpling, nipple retraction, or skin ulceration
15
Q
What to look at for prognosis
A
tumor size, axillary lymph node involvement, tumor type
