Breast Cancer 1 Flashcards

1
Q

Most frequent malignancy in women worldwide?

A

Breast cancer, 1/8

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2
Q

Curability of breast cancer if detected early?

A

70-80%

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3
Q

Curability of advanced breast cancer (metastatic)?

A

Incurable but treatable to prolong survival and reduce symptoms

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4
Q

Breast cancer risk factors?

A

Increased breast density, prolonged oral contraceptive use, alcohol/tobacco, gene mutation, early menstruation & late menopause/obesity, late childbearing, gene mutation

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5
Q

Why is it thought that oestrogen could be involved in breast cancer?

A

It is in oral contraceptives and hormone replacement therapy

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6
Q

What is known to be protective against breast cancer?

A

Breastfeeding

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7
Q

What % of breast cancers are inherited?

A

5-10%

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8
Q

What are most inherited breast cancers caused by?

A

BRCA1&2 mutations

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9
Q

What kind of mutations are BRCA1&2 mutations?

A

Autosomal dominant inheritance

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10
Q

What do BRCA1&2 encode?

A

DNA repair proteins

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11
Q

Breast cancer likelyhood with BRCA1 mutation?

A

72%

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12
Q

Breast cancer likelyhood with BRCA2 mutation?

A

69%

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13
Q

What are mammary glands similar to?

A

Sweat glands

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14
Q

What do mammary glands consist of?

A

Series of ducts and lobules

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15
Q

What does each lobule consist of?

A

Many alveoli

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15
Q

How many lobules at the end of each duct?

16
Q

Where do all the lactiferous ducts end up?

A

Converge around the nipple

17
Q

Role of fatty tissue in breast?

A

Supportive structure–> surround the mammary glands

18
Q

Components of connective breast tissue?

A

Fibrous and fatty component

19
Q

Which muscle is the breast connected to?

A

Pectoralis Major muscle

20
Q

Structure of a breast duct?

A

Lumen, surrounded by lumen epithelial cells, surrounded by basal myoepithelial cells

21
Q

Where do all breast cancers arise?

A

Ducts or lobules

22
Q

What are the suspensory ligaments a part of?

A

FIbrous connective tissue

23
Q

Role of suspensory ligaments?

A

Attach and secure the breast to the dermis and muscle
Also separate the secretory lobules of the breast as they are in between the secretory lobules

24
What are assignee?
Mammary gland lobules
25
Structure of an acinus?
small sac like cavity in a gland, surrounded by secretory cells
26
Role of secretory cells?
To secrete milk
27
Which cells do breast cancers arise from?
Luminal cells--> luminal epilium
28
Stages of BC?
Normal Flat epithelial atypia Atypical duct hyperplasia Ductal carcinoma in situ Invasive ductal carcinoma
29
When does a breast cancer become invasive?
When cells move out of the lumen and into other areas of the body
30