breast cancer Flashcards
1
Q
risks
A
age preb breast cancer BRCA1, BRCA2 early menarche late menopause late/no pregnancy HRT alcohol weight radiotherapy for Hodgkin;s
2
Q
features
A
lump mastalgia (persistent unilateral pain) nipple discharge, blood stained nipple changes change in size, shape breast lymphoedema dimmpling breast skin
3
Q
diagnosis
A
bilateral mammograms/USS
FNA - cytology core biopsy (histopathology)
4
Q
staging
A
FBC, U&Es, LFTs, Ca
CXR
5
Q
Rx
A
surgery
raditherapy
chemotherapy
hormonal therapy
6
Q
main types surgery
A
breast conservation surgery
mastectomy
7
Q
indications for breast conservation surgery
A
breast/tumour size ratio
suitable for radiotherapy
patient wish
8
Q
complications axillary Rx
A
lymphodema sensory disturbance decreased ROM shoulder nerve damage vasc damage
9
Q
factors assoc w disease recurrence
A
lymph node invovlement
tumour grade, size
steroid receptor status
HER2 status
