Breast Cancer

Question 1

3 main ways to get breast cancer?

Answer 1

Too much estrogen
Radiation
BRCA 1 and 2

Question 2

Screening recommendations for breast cancer?

Answer 2

Start mammo at 50 every 2 years

Question 3

How to diagnose breast cancer?

Answer 3

Over 30, Mammo then biopsy, core biopsy

Under 30, US which will tell you the difference between cyst or mass. If cyst, FNA.

Question 4

What is the criteria to do mammo then biopsy?

Answer 4

Over 30 OR bloody OR mass OR keeps coming back

Question 5

What do you always do before axillary LN direction?

Answer 5

Do a sentinel LN biopsy first to see if it’s positive

Question 6

What do we mean when we say local therapy for breast cancer?

Answer 6

Radiation and surgery

Lumpectomy + radiation is just as good as taking the whole breast out

Question 7

Triple combo chemo therapy for breast cancer?

Answer 7

Doxorubicin
Cyclophosphamide
Paclitaxel

Question 8

Side effect of rubicin?

Answer 8

CHF

Question 9

What drug for HER2NEW positive breast cancer?

Answer 9

Trastuzumab

Question 10

What drug to use for HER2NEW negative breast cancer?

Answer 10

Bevacizumab

Question 11

What drugs to use for estrogen/progesterone positive breast cancer in pre menopausal?
Post menopausal?

Answer 11

SERMS, tamoxifen,

aromatase blockers