Breast Axilla Lymph Flashcards

1
Q

What is the annual incidence of breast cancer cases?

A

300,000 cases each year

Responsible for over 40,000 deaths annually.

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2
Q

What was the trend in breast cancer incidence rates from 1999 to 2007?

A

Decreased by 1.8 percent per year

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3
Q

What is a ‘prevalence peak’ in the context of breast cancer screening?

A

A peak due to cancers building up in the population and early detection from screening

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4
Q

What was observed regarding breast cancer incidence starting in 1999?

A

Incidence began to fall back to baseline

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5
Q

What factor was previously thought to contribute to the decline in breast cancer incidence?

A

Discontinuation of hormone replacement therapy (HRT)

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6
Q

What percentage of women are diagnosed with breast cancer due to mammographically occult disease?

A

Up to 15 percent

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7
Q

What percentage of women present with interval cancers?

A

30 percent

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8
Q

List factors that predispose a female to develop breast cancer.

A
  • Age (>40)
  • Genetics/African American descent
  • Family history of breast cancer
  • Personal history of breast cancer
  • Early menarche
  • Late menopause
  • Excessive alcohol consumption
  • Obesity
  • Nulliparity
  • Use of hormone replacement therapy
  • History of chest radiation
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9
Q

What is the most common location for breast tumors?

A

Upper outer region of the breast

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10
Q

What tissues compose the breast?

A
  • Adipose
  • Glandular
  • Fibrous tissue
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11
Q

What is the axillary lymph system composed of?

A
  • Central
  • Lateral
  • Pectoral
  • Subscapular
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12
Q

What is the significance of Rotter’s node in breast cancer?

A

It is usually removed in aggressive cancer cases

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13
Q

What are the components of a breast examination?

A
  • Inspection
  • Palpation
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14
Q

What should be evaluated during breast inspection?

A
  • Size
  • Shape
  • Symmetry
  • Contour
  • Color
  • Edema
  • Dimpling
  • Retraction
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15
Q

What is the recommended method for breast palpation?

A

Use the pads of your fingers

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16
Q

What are the three methods of breast examination?

A
  • Vertical strips pattern
  • Spokes of a wheel pattern
  • Circular pattern
17
Q

What does the term ‘Fibrocystic disease’ refer to?

A

Nodular or glandular breast tissue, described as ‘lumpy or bumpy’

18
Q

What are the characteristics of carcinoma in a breast exam?

A
  • Irregular (60%)
  • Hard
  • Poorly delimited
  • Fixed (50%)
  • Nontender
  • Retraction
19
Q

What is mastitis?

A

Inflammation of the breast tissue, with pain, edema, warmth, and erythema

20
Q

What is Paget Disease of the Breast characterized by?

A

Red, scaling, crusting plaque on the nipple or areola, usually unilateral

21
Q

What is the importance of self-breast exams?

A

Can help detect breast masses in between mammograms

22
Q

What is the recommendation for yearly screening mammograms?

A

It is important to inform patients to do them monthly