Breast Disease Flashcards
what is the screening requirements for breast CA as per ACOG?
40-49 yearly; 50-75 yearly; >75 individualized (NOTE: AMA says don’t stop at 75)
what is the breast composition?
20% glandular 80% fat
what is the lymph drainage of the breast?
regional nodes in the axilla and clavicle
what is the major blood supply to the breasts?
internal thoracic artery and lateral thoracic artery
for how long should each breast be examined?
3 minutes at least
t or f: clusters of calcifications on mammo is a benign finding
FALSE
t or f: increased breast density is on mammo is a suspicious finding
TRUE
t or f: alcohol intake is a risk factor for breast CA
TRUE
over the age of 40, what should be the initial test of choice for a breast lump? less than 40
diagnostic mammography; ultrasound
in terms of aspiration fluid of a breast cyst - what is the next step after finding cloudy/blood aspirate? clear? and what if the cysts remain?
excision bx and imaging; reassure/monitor; excisional bx
fat necrosis is typically a result of what process?
trauma to the breast and subsequent bleeding into the tissue
rubbery, firm, freely mobile, solid and well circumcised lesion
fibroadenoma
tumor of older women typically larger than fibroadenoma
phylloides tumor
this is a PATHOLOGIC diagnosis and should NOT be described with clinical findings; classic symptoms include BILATERAL breast pain, increased size, pain, and nodularity
fibrocystic changes
t or f: pts of Ashkenazi Jewish ancestry are at increased risk of breast CA
TRUE
