Breast - Assessment of Disease Flashcards
What are the 3 areas of triple assessment for breast disease?
Clinical, imaging, pathology
For women aged < 35, what imaging investigation(s) should be performed in the initial assessment of any breast symptom?
Ultrasound
For women aged > 35, what imaging investigation(s) should be performed in the initial assessment of any breast symptom?
Ultrasound and mammogram
When should women aged < 35 ever receive a mammogram?
If they have been diagnosed with breast cancer
What is the most important imaging technique for women who are symptomatic of breast disease?
Ultrasound
Why are mammograms more sensitive in women aged > 35?
They have less fibro-glandular tissue and more fatty tissue
Calcification on mammography is usually a sign of what?
DCIS
90% of spiculate masses on mammography are what?
Invasive cancers
Central necrosis on mammography is usually a sign of what?
DCIS
Stellate lesions on mammography are usually a sign of what?
Invasive carcinoma
Breast lumps have to be greater than what diameter to be identified on ultrasound or mammography? What investigation can be used to identify breast lumps as small as 1mm?
5mm / MRI
What screening do patients with BRCA mutations receive?
Annual breast MRI and mammogram up to the age of 50, then join the regular screening programme
If imaging finds a cystic breast lump, what should be done next?
Aspiration of the lump
If imaging finds a cystic lump, and this is aspirated but a residual mass remains, what should be done next?
Core needle biopsy
If imaging finds a cystic lump, and bloody fluid is aspirated, what should be done next?
Send for cytology
