Breast Cancer Management

Question 1

What views are taken in a mammogram?

Answer 1

Craniocaudal

Mediolateral

Question 2

Describe the scaling system of 1-5 used for mammograms

Answer 2

1: normal
2: abnormality benign
3: abnormality probably benign
4: abnormality probably malignant
5: abnormality malignant
NB 2 radiologists read each mammogram; women with a 3, 4 or 5 are invited for review

Question 3

How can you determine the medial and lateral side of the breast on a craniocaudal view?

Answer 3

Marker on lateral aspect of film

Question 4

How can you determine the medial and lateral side of the breast on a craniocaudal view?

Answer 4

Marker on lateral aspect of film

Question 5

What factors are recommendations about treatment based on?

Answer 5

Pt’s age and menopausal status
General health
Cancer factors, and prognostic and predictive factors

Question 6

List 3 prognostic factors for breast cancer

Answer 6

TNM staging
Grade
ER/PR/her 2 receptor status

Question 7

What is the main predictive factor for breast cancer?

Answer 7

ER/PR/her 2 receptor status

Question 8

What is the Oncotype DX used for?

Answer 8

To predict for added value of chemo