Breast Cancer--Jen Flashcards
1
Q
Risk Factors of Breast Cancer
A
- age
- BrCA gene
- family history
- dense breasts
- menstruation before 12 yo
- menopause after 55
- first pregnancy after 30
- never having been pregnant
- obesity
- alcohol use
2
Q
Breast Anatomy
A
- collection of glands and fatty tissues
- clavicle to last few ribs
- over pec major, serratus ant, external obliques
- lobes made of lobules (produce milk)
3
Q
mammograms
A
-yearly after age 40
4
Q
Pathology of Breast Cancer
A
- slow growing
- may be present years before detection
5
Q
indications for biopsy of breast
A
- mass
- bloody nipple discharge
- nipple retraction
- thickening of breast tissue
- palpable mammographic lesions
- non-palpable suspicious mammographic abnormalities
6
Q
Breast Cancer:
Surgery
A
- modified radical mastectomy
- axillary node dissection
- sentinel node biopsy
7
Q
Modified radical Mastectomy
A
-remove breast tissue and axillary lymph nodes and pec minor may be removed
8
Q
Breast Cancer:
Radiation
A
-for lumpectomy and some MRM
9
Q
Side Effects of Radiation
A
- reddened skin
- thickening/fibrosis of breast tissue
- edema
- fatigue
10
Q
Breast Cancer:
Chemotherapy
A
-interfere with cellular metabolism/growth
11
Q
Side Effects of Chemo
A
- bone marrow suppression
- peripheral neuropathy
- joint pain
- alopecia
- GI upset
- Fatigue
- decreased functional capacity
12
Q
Breast Cancer:
Endocrine/Biological Therapy
A
- positive estrogen/progesterone receptors in tumor tissue
- block estrogen receptors to interfere with cell growth
- side effects like menopause
13
Q
Breast Reconstruction Surgery
A
- simple implant
- autologous muscle flap
- –rectus abdominis, DIEP, latissimus dorsi, Gracilis (TUG)
14
Q
When using Lat Dorsi for breast reconstruction
A
-NO shoulder extension in PT
15
Q
Limitations Post Breast Cancer Treatment
A
- fatigue
- N/T (post arm)
- adhesions/scarring
- cording (tight/scarring down of lymphatic veins)
- shoulder dysfunction (ROM, neck/shdr pn, Mm spasm/imbalances)
