Breast Cancer Flashcards
What is the number one cancer in women
Breast cancer
What are some risk factors for breast cancer
Age, race, family history, gene mutation
What are some protective factors of breast cancer
Breastfeeding and exercise
What are some genes that are specific for breast cancer
BRCA 1 and BRCA 2
What do you use to screen for breast cancer and when do you screen
Mammograms
Yearly for women >50
When would you use an MRI to screen for breast cancer
Screening high risk, such as those with the BRCA mutation
When should women preform clinical breast exam
Every 1-3 years 20-39
Yearly >40
When should one preform a self breast exam
Same day each month, a few days after menses ends
Where does breast cancer metastasize to first
Axillary lymph nodes then to the infraclavicular and supraclavicular
What is a mammorgram
Low dose XR of compressed breast
How early can a mammogram detect cancer
2 years before they would reach detable size on palpation
What ultimilty diagnosis someone with breast cancer
Biopsy
What type of biopsy is preferred
Core needle biopsy
What is the most common type of breast cancer
Invasive ductal cancer
What is the treatment for someone with breast cancer
Mastectomy or adjuvant therapy (radiation, chemotheray..)
What med can be given as treatment for breast cancer if they are ER+ or PR+
Tamoxifen
When does a patient need to f/u after treatment of breast cancer
Every 3-6 months for 2 years then annually
Mammograms yearly
If a patient is on Tamoxifin what do you need to make sure they get yearly
Pelvic exam
What is an eczematous rash and ulceration around the nipple with associated underlying carcinoma
Paget’s disease
How do you diagnose Paget’s disease
Full thickness biopsy of lesion
How do you treat Paget’s disease
Mastectomy
With what kind of breast cancer do cancer cells block lymph vessels
Inflammatory carcinoma
How might an inflammatory carcinoma look on exam
“Peau d’orange” may be mistaken for mastitis. Diffuse pink/purple/red edematous with dimpling
Is an older or younger women more likely to have inflammatory carcinoma
Younger
What type of breast cancer is most common with inflammatory carcinoma
Invasive ductal carcinoma
Does inflammatory carcinoma progress fast or slow
Fast (weeks-months)
