Breast Abnormalities Flashcards

1
Q

During the menstrual cycle, _______ are common.

A

Simple cysts

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2
Q

Characteristics of a simple cyst

A

anechoic, posterior enhancement, well defined borders, mobile

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3
Q

What is the most common benign diffuse breast condition?

A

fibrocystic breast disease

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4
Q

Describe fibrocystic breast disease

A

many small cysts scatter throughout the breast, lumpy painful breasts, varies with menstruation

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5
Q

Someone who has fibrocystic breast disease has a higher chance of developing?

A

breast cancer

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6
Q

What is fibrosis?

A

Thickening of tissue

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7
Q

A hemorrhagic cyst contains ______.

A

blood

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8
Q

What is done to diagnose whether or not a hemorrhagic cyst is malignant?

A

FNA (fine needle aspiration)

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9
Q

Hemorrhagic cysts are caused by?

A

A tumor growing inside the cyst or trauma

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10
Q

How do simple hemorrhagic cysts appear sonographically?

A

internal low level echoes with viscous fluid

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11
Q

How do hemorrhagic cysts with neoplasm appear sonographically?

A

thickened wall or papillary projection from wall

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12
Q

True or False: Intracystic Papilloma is not common.

A

True

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13
Q

Appearance of intracystic papilloma on ultrasound?

A

“mass growing inside cyst”

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14
Q

What is a dilated duct cyst?

A

ducts become enlarged by milk and become tubular

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15
Q

Dilated ducts are normal with ______ or ______.

A

Pregnancy; Lactation

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16
Q

What is a galactocele?

A

A milky localized cyst caused by an obstruction of lactiferous duct

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17
Q

What is another name for galactocele?

A

Rentention Cyst

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18
Q

What is mastitis?

A

Inflammation of the breast

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19
Q

What causes mastitis?

A

trauma, staph, obstructed ducts

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20
Q

How does mastitis appear sonographically?

A

diffuse decrease in echogenicity, small fluid collections scattered

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21
Q

What is an abscess?

A

areas of pus due to surgery, breastfeeding, or illness

22
Q

What is a common characteristic of an abscess sonographically?

A

ring of fire sign

23
Q

What are the two kinds of breast hematoma?

A

Acute and Chronic

24
Q

Describe acute hematoma

A

fresh blood; anechoic

25
Q

Describe chronic hematoma

A

fixed; more echogenic; old blood

26
Q

Name the benign solid masses in the breast

A

fibroadenoma, cystosarcoma phylloides, intraductal papilloma, lipoma

27
Q

A benign mass ______ rather than _____.

A

displaces; invades

28
Q

A malignant mass ______ rather than ______.

A

invades; displaces

29
Q

True or false: a malignant tumor is usually taller than wide

A

True

30
Q

What is the most common benign primary nodule of the breast?

A

Fibroadenoma (papilloma)

31
Q

What is another name for fibroadenoma?

A

papilloma

32
Q

Fibroadenoma is stimulated by?

A

estrogen

33
Q

What is the most common type of invasive breast carcinoma?

A

Invasive ductal cell carcinoma

34
Q

What is the second most common type of invasive breast carcinoma?

A

Invasive Lobular Carcinoma

35
Q

True or False: Malignant masses are usually painful

A

False; usually feel no pain

36
Q

Where is invasive lobular carcinoma usually found?

A

upper outer quadrant (UOQ)

37
Q

What population is affected by gynecomastia?

A

Males

38
Q

What is gynecomastia?

A

Abnormal proliferation of fibroglandular tissue and fat in men

39
Q

True or False: Breast cancer in men is common

A

False; very rare (.5%)

40
Q

In silicone implants, the speed of sound is ______ than soft tissue

A

slower

41
Q

In saline implants, speed of sound is _______ to soft tissue

A

closer

42
Q

What is FNAB?

A

fine needle aspiration biopsy done under ultrasound guidance; removes fluid or tissue from mass

43
Q

What is the most common cause of breast lumps?

A

simple cysts

44
Q

Fibrocystic breast disease varies with?

A

menstruation

45
Q

Which breast anomaly is most common in a lactating patient?

A

galactocele

46
Q

Mondor’s disease is acute thrombophlebitis in the superficial _____ of the breast.

A

vessels

47
Q

True or False: You can get an ultrasound over the age of 35 without a previous mammogram

A

False; mammogram first

48
Q

When describing the location of a breast mass, the depth is described by _______, while the distance from the nipple is described by _________.

A

ABC; 123

49
Q

The stepladder sign indicates what? How does it look sonographically?

A

a ruptured breast implant; multiple linear and curvilinear echogenic lines within implant

50
Q

Invasive lobular carcinoma is usually found in which quadrant?

A

UOQ

51
Q

Which anomaly is associated with bloody nipple discharge?

A

intracystic papilloma