Breast Flashcards
1
Q
Triple assessment approach to breast lumps
A
Clinical examination &
Imaging
Pathology
2
Q
Symptoms of breast cancer
A
Dimpling Weight loss Malaise Nipple Inversion Ulceration Tenderness Peau de orange
Tenderness
WSarm
Bloody discharge
Irregular margins
size
colour
tenderness and temp
fixation
3
Q
Symptoms of ?
A
Nipple discharge/bleeding
Erythema
4
Q
Systems review and why
A
Fever SOB Abdo pain, N+V Confusion Back pain (spinal mets)
5
Q
Rx
A
A frogman
Age FHx Radiation Obesity + OCP Genetics (HR positive) Menarche and menopause Alcohol Nulliparity
6
Q
What are investigations
A
Mammogram
USS - under 35 (more dense breast)
7
Q
When are women invited for screening?
A
Women aged between 50-70 invited for screening every three years
8
Q
What do you do to collect samples of the breast lump?
A
Fine needle aspiration cytology
Core biopsy
9
Q
What is grading?
A
Appearance of breast cancer cells compared to normal tissue
10
Q
TNM staging - what does 0-4 mean?
A
0 = in sutu
1-3 - within breast
4 - metastatic cancer