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MedSurg > Breast Ca > Flashcards

Breast Ca Flashcards

1
Q

which part of the breast is common in breast ca?

A

upper outer quadrant

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2
Q

when do you start BSE?

A
  • 5 to 7 days after menses
  • Start from age 20
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3
Q

most common benign condition that causes tumor for pt. aged 40 and above

A

fibrocystic breast changes

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3
Q

when do you start mammography?

A

Annually after the age of 40 years

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3
Q

Clinical Manifestations of Breast Cancer

Lesions are non- tender, fixed, and hard with irregular borders

Advanced signs— skin dimpling, nipple
retraction, skin ulceration

A

Clinical Manifestations of Breast Cancer

Lesions are non- tender, fixed, and hard with irregular borders

Advanced signs— skin dimpling, nipple
retraction, skin ulceration

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4
Q

Involves removal of
the lump

A

Lumpectomy/
tylectomy

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5
Q

Involves removal of
the entire breast, pectoralis muscle and
nipple remains intact

A

Simple Mastectomy

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5
Q
  • Involves removal of
    the breast, pectoralis
    major muscle and
    the axiliary lymph
    nodes
A

Modified Radical
Mastectomy

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6
Q

Involves removal of the
entire breast, pectoralis
major and minor
muscles, axiliary and
neck lymph nodes. It is
followed by skin
grafting

A

Radical mastectomy
(Halsted surgery)

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6
Q

hematoma vs seroma formation

A

hematoma - blood yung namuo
seroma formation: mixture ng blood and lymph

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7
Q

Surgical site mgt and care of drain usually removed when the output is less than ___ mL in a 24-hour period, approximately _ to 10 days)

A

30

7

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8
Q

T or F

If immediate reconstruction has been performed, showering may be
contraindicated until the drain is removed

A

TRUE

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8
Q

Arm exercises on the
affected side 3x a day
for 20 minutes at a time
until full range of
motion is restored
(generally 4 to 6 weeks)

A

Arm exercises on the
affected side 3x a day
for 20 minutes at a time
until full range of
motion is restored
(generally 4 to 6 weeks)

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9
Q

Heavy lifting (more than
5 to 10 pounds) is
avoided for about 4 to 6
weeks

A

Heavy lifting (more than
5 to 10 pounds) is
avoided for about 4 to 6
weeks

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10
Q

classic sign of advanced breast ca that results from a neoplasm blocking lymphatic drainage

A

p’eau d orange

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11
Q

note:

breast tissue of adolescent: firm and lobular
postmenopausal woman: thin and fattier

A

note:

breast tissue of adolescent: firm and lobular
postmenopausal woman: thin and fattier

12
Q

BREAST ASSESSMENT
*annually after the age of 40 years
*this aids in early detection and diagnosis of malignant or benign disease
*rarely used because of MRI
*digital and 3d– mas gamit
*contrast
-involves injection of less than 1 mL of radiopaque material
-performed to evaluate an abnormality within the duct when the patient has bloody nipple discharge on expression
*don’t wear deodorant, perfume or powder
-may substance such as talc that interfere with the procedure
-talc can be seen as “dust” through xray
*bukol ‘yong hinahanap

A

Mammography

13
Q

BREAST ASSESSMENT

*used as a diagnostic adjunct to mammogram to differentiate fluid-filled cyst from other type of lesion
*cannot rule out malignant lesions
*microcalcifications, which are detectable on mammography. can’t be identified on ultrasonography
*use high frequency sound waves to produce visual pictures
*omit deodorants with aluminum hydroxide or body talc the day of test to avoid artifacts on x-ray film

A

Ultrasonography

14
Q

BREAST ASSESSMENT

*highly sensitive test that has become a useful diagnostic adjunct to mammography
* useful for evaluation of contralateral disease, invasive lobular carcinoma, and assessment of chemotherapeutic response

A

Magnetic Resonance Imaging

15
Q

Surgical Biopsy

*standard procedure for complete pathologic assessment of a palpable mass
*the entire mass, plus a margin of surrounding tissue, is removed

A

Excisional Biopsy

16
Q

Surgical Biopsy

*removes a portion of a mass
*done to confirm the diagnosis
*will aid in determining treatment

A

Incisional Biopsy

17
Q

Surgical Biopsy

technique used to locate nonpalpable mass or suspicious calcium deposits detected on mammogram, ultrasound, MRI that require excisional biopsy

A

Wire Needle Localization

18
Q

note: dressing covering the incision is usually removed after 48 hours, but the Steri-Strips which are applied directly over the incision should remain in place for approx. 7-10 days until they fall off

A

note: dressing covering the incision is usually removed after 48 hours, but the Steri-Strips which are applied directly over the incision should remain in place for approx. 7-10 days until they fall off

19
Q

BENIGN CONDITIONS OF THE BREAST

cysts common among ages 40 and above

A

fibrocystic breast changes

20
Q

BENIGN CONDITIONS OF THE BREAST

  • atypical hyperplasia
  • lobular carcinoma in situ (LCIS)
A

benign proliferative breast disease

20
Q

BENIGN CONDITIONS OF THE BREAST

– most common lesion; firm, round, movable, benign tumor

A

fibroadenomas

21
Q

*standard of care for the treatment of early-stage breast cancer
*the SLN that receives drainage from the primary tumor in the breast, is identified by injecting radioisotope or blue dye
*patient may discharge the same day after procedure

A

Sentinel Lymph Node Biopsy

21
Q

it is done to excise tumor in breast completely and obtain clear margins while achieving an acceptable cosmetic result

A

Breast Conservation Treatment

21
Q

BENIGN CONDITIONS OF THE BREAST

breast pain

A

(mastalgia)

21
Q

*swelling of the arm, caused by an abnormal collection of too much fluid
*the acute and more painful type of lymphedema can occur about 4 to 6 weeks following surgery
*most common type is slow and painless and may occur 18 to 24 months after surgery

A

Lymphedema

21
Q

note: self care

*surgical site mgt and care of drain (usually remove when the output is less than 30mL in a 24-hour period), approximately 7-10 days
*shower on second postop day and wash the incision or drain site with soap and water. if immediate reconstruction has been performed, showering may be contraindicated until the drain is removed
*2nd post-op day encourage to take a bath
*arm exercises on the affected side 3x a day for 20 minutes at a time until full ROM is restored (generally 4 to 6 weeks)
*heavy lifting (more than 5 to 10 pounds) is avoided for about 4 to 6 weeks

A

note: self care

*surgical site mgt and care of drain (usually remove when the output is less than 30mL in a 24-hour period), approximately 7-10 days
*shower on second postop day and wash the incision or drain site with soap and water. if immediate reconstruction has been performed, showering may be contraindicated until the drain is removed
*2nd post-op day encourage to take a bath
*arm exercises on the affected side 3x a day for 20 minutes at a time until full ROM is restored (generally 4 to 6 weeks)
*heavy lifting (more than 5 to 10 pounds) is avoided for about 4 to 6 weeks

MedSurg (10 decks)

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