Breast Cancer Flashcards
What part of the anatomy contains the cells where more breast cancer arrives?
Lobules and Ducts
What supports the breast tissue?
Cooper’s Ligaments
What is the primary site of lymphatic drainage? In relation to cancer metastasis, why is this site important?
Axilla; First site for breast cancer to spread.
What muscle separates the three levels of axillary nodes?
Pectoralis Minor
What is the lifetime risk of breast cancer?
1/8
If you have ductal tumor that starts out as ductal cancer in situ (DCIS) and can turn into…
Invasive ductal; This is a cancer
If you have lobular tumor that starts out as ductal cancer in situ (LCIS) and can turn into…
Invasive lobular; This is not a Cancer
This is a type of breast cancer that is a vascular malignancy and caused by radiation.
Angiosarcoma
This is a type of breast cancer that is composed of mixed connective tissue and epithelium. It metastasizes hematogenously.
Phyllodes
What is the appropriate screening for breast cancer?
- 40+ yo in good health = yearly mammograms
- Clinical breast exam about every 3 years for women in their 20s and 30s
- If family history is positive, then 10 years earlier than the age of the youngest affected.
How do you dx breast cancer?
- H&P
- Imaging
- Biopsy
Sign/Symptoms of Breast Cancer
- Asymptomatic
- Mass
- Pain
- Discharge
- Dimple
- Rash
- Edema
- Duration, Change, Relationship with Cycle, Trauma
What are high risk factors for Breast Cancer? (PACAN)
P- Pregnancy first >30 years A- Age at Menarche C- Cancer breast (self or family) A- Age at Menopause N- Nulliparity
What are other risk factors for breast cancer?
- OCP Use
- Hormone Therapy in postmenopausal women
- Genetics (BRCA 1 = Ovarian; BRCA 2 = Male)
- Prior Brest Biopsies (Adenosis, Cysts, Ectasia, Apocrine metaplasia, Atypical ductal or lobular hyperplasia, LCIS)
When inspecting the breast, what are we looking for?
- Asymmetry
- Deformity
- Skin Changes
- Edema