Breast Cancer

Question 1

T/F: breast tissue is also found in the axilla

Answer 1

True

Question 2

about how many lymph nodes are in each axilla

Answer 2

10 - 38

Question 3

bresat that have more fibrous and glandular tissue than fatty tissue

Answer 3

dense breast

Question 4

atypical ductal hyperplasia

Answer 4

benign cellular proliferation in the breast ducts

Question 5

atypical lobular hyperplasia

Answer 5

benign cellular proliferation in the breast lobules

Question 6

where in the breast do most tumors develop?

Answer 6

upper outer quadrant

Question 7

the most common presentation of early-stage breast cancer is

Answer 7

asymptomatic, nonpalpable mass detected as an abnormality on screening mammogram

Question 8

most common physical sign of early stage breast cancer

Answer 8

a nonpainful mobile mass

Question 9

signs of advanced breast cancer

Answer 9

• nipple retraction
• enlarged axillary or superaclavicular lymph nodes
• nipple discharge
• abnormal breast contour
• skin discoloration

Question 10

what two locations in the breast is most likely to spread to the axillary lymph nodes

Answer 10

upper outer quadrant and central portion of the breast

Question 11

what is the most common screen modality for breast cancer

Answer 11

mammography

Question 12

T/F: there is evidence that radiation exposure canced by routine mammograms increases the risk for getting breast cancer

Answer 12

false

Question 13

what is ultrasound mostly used for when imaging breast

Answer 13

• conjectioning with mammography in women with dense breast tissue
• to distinguish between cystic and solid masses

Question 14

envolves the removal of the entire lesion

Answer 14

excisional biopsy

Question 15

a syringe with a large gauge needle is used to collect tissue

Answer 15

core needle biopsy

Question 16

a syringe with a small gauge needle is used to extract blood or tissue

Answer 16

fine needle biopsy

Question 17

what is the most common type of invasive breast cancer

Answer 17

invasive ductual carcinoma

Question 18

which type of breast cancer has a higher frequency of involving both breasts

Answer 18

invasive lobular carcinoma

Question 19

which stage is based on all the infromation obtained before surgery to remove the tumor

Answer 19

clinical

Question 20

which type of staging is generally considered to be more accurate in determining the extend of patient’s disease and prognosis

Answer 20

pathological

Question 21

Y/N: do patients with triple negative breast cancner have a better prognosis that those with other breast cancer subtypes

Answer 21

no

Question 22

Y/N: does prognosis get worse as the number of lymph nodes involved increases

Answer 22

yes

Question 23

Y/N: is the most common stage system used for breast cancer the TNM system

Answer 23

yes

Question 24

Y/N: in the US do white women have a higher incidence of breast cancer than black women

Answer 24

yes

Question 25

Y/N: in the US do more black women die from breast cancer than white women

Answer 25

yes

Question 26

Y/N: do black women have a higher risk of having negative ER, PR, and HER2 breast cancer

Answer 26

yes

Question 27

Y/N: do breast cancer patients under the age of 35 have a better prognonsis than older women

Answer 27

no

Question 28

the most invasive type of mastectomy

Answer 28

radical mastectomy

Question 29

removal of breast and th level I and II lymph nodes

Answer 29

modified radical mastectomy

Question 30

removal of the entire breast, the pectoralis major and minor muscles, and all axillary lymph nodes

Answer 30

radical mastectomy

Question 31

removal of the breast while leaving the axillary lymph nodes in place

Answer 31

total mastectomy

Question 32

the removal of level I and II lymph nodes in order to stage the cancer

Answer 32

axillary dissection

Question 33

a biopsy of only those lymph nodes that are first to recieve drainage from the tumor

Answer 33

sentinel lymph node biopsy

Question 34

a lumpectomy is an example

Answer 34

breast conserving surgey

Question 35

a systemic therapy given before surgery

Answer 35

neoadjuvant therapy

Question 36

use of another form of treatment in addition to the primary form of treamtent

Answer 36

adjuvant therapy

Question 37

following lupectomy, a patient is treated with radiation therapy. raidaiton therapy is an example of

Answer 37

adjuvant therapy

Question 38

following chemotherapy, a patient has to take tamoxifen for 5 years. the tamoxifen is an

Answer 38

adjuvant therapy

Question 39

axillary lymph nodes recieve approximately what percentage of lymphatic drainage form the breast?

Answer 39

85%