breast disease Flashcards

1
Q

unilateral nipple discharge is more likely benign or malignant

A

malignant

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2
Q

breast lump fixed to chest wall?

A

malignant

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3
Q

when a discrete mass is breast, what to use?

A

mammogram

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4
Q

duct ectasia: malignant or benign

A

benign, with no risk for malignancy

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5
Q

dilated duct that widens, duct walls thicken, duct fills with milky fluid

A

duct ectasia

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6
Q

most common benign breast tumor

A

fibroadenoma

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7
Q

when do lactating adenoma typically develop?

A

during pregnancy

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8
Q

most common cause of blood nipple discharge

A

intraductal papilloma

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9
Q

tx of intraductal papilloma

A

duct excision

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10
Q

tx of fibrocystic disease

A
  1. d/c estrogen

2. avoid caffeine

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11
Q

thrombophlebitis of thoraco-epigastric vein

A

mondor’s disease

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12
Q

if triple receptor negative breast cancer under age 60, what else should you test for?

A

BRCA

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13
Q

what (T) stage if carcinoma in situ (DCIS, LCIS, paget disease)

A

Tis

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14
Q

what (T) stage: tumor under 2 cm across

A

T1

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15
Q

what (T) stage: tumor > 2 cm across, but under 5 cm

A

T2

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16
Q

what (T) stage: tumor > 5 cm across

A

T3

17
Q

(N) stage: 1-3 axillary LN

A

N1

18
Q

(N) stage: 4-9 axillary LN

A

N2

19
Q

(N) stage: spread to axillary LN & internal mammary nodes, or >10 axillary LN involved

A

N3

20
Q

the most common type of breast cancer

A

invasive ductal carcinoma

21
Q

____is used to tx ER+ cancer

A

tamoxifen

22
Q

_____is used to tx HER2+ cancer

A

trastuzamab

23
Q

what is dx is a woman presents with peau d’orange and erythema

A

punch biopsy for inflammatory breast cancer

24
Q

starts in the milk ducts, spreads to nipple, causes a crusty scaly red nipple

A

paget disease of the nipple

25
Q

women over the age ____should have what breast cancer screening?

A

> 40 yo; annual breast exam + mammogram

26
Q

age 25-40 should have clinical breast exams how often

A

every 1-3 years

27
Q

what is the BI-RAD system

A

breast imaging reportign and data system

28
Q

BI-RAD: benign finding

A

BI-RAD 2

29
Q

BI-RAD: suspicious for malignancy

A

BI-RAD 4

30
Q

breast conservation tx for cancer consists of?

A

lumpectomy + sentinel LN biopsy + whole breast radiation tx

31
Q

difference in survival b/w lumpectomy vs masectomy

A

no difference in survival if lumpectomy performed with radiation

32
Q

effect of contralateral prophylactic masectomy on survival

A

no difference