Breast Cancer Flashcards
at what age are we beginning to screen for breast ca with a mammogram?
40
what puts someone at high risk for breast ca and when do we screen these pt?
family hx; 10 years b4 they were dx… other RF’s family hx of pancreatic ca, Ashkenazi jewish background
What other screening modalities are u going to consider for a women with denser breast tissue that makes mammograms less sensitive
US or MRI
when do we consider performing stereotactic bx
microcalcifications on US
how does the US help us evaluate a mass?
whether or not its cystic vs. solid
What do you do if you find a breast cyst that measures >2cm on U/S
stick a needle in it to aspirate…
When do you want to consider surgically excising a fibroadenoma?
If it is complex
Adjacent proliferative Dz
Family Hx of breast Ca
How will u tx a pt who u suspect has phyllodes tumor characterized as a very large aggressive FA
excise
Who is at increased risk for non-lactational breast abscess
smokers, obese, diabetics
how do u w/u a breast abscess
U/S Not mammogram
What charecteristics to the breast abscess would raise ur suspicion for anaerobic pathogen? What would u add to the abx regimen which should already cover for staph aureas.
- subareolar abscess
- retracted nipple
Add Flagyl
which colors of nipple dx are usually benign? Concerning?
milky/green-benign
clear/bloody-concerning
How do u tx ductal carcinoma in situ
endocrine tx alone (no chemo) if at stage 0
when do u check axillary lymph nodes (sentinel nodes) for DCIS
when it’s high grade, lateral or large lesions, mastectomy
What is the breakdown in % of types invasive breast ca?
80% ductal
10% lobule
other 10%-
Favorable-intracystic, papillary, mucinous, tubular, medullary
Unfavorable-metaplastic, and angiosarcoma
