Breast Disease

Question 1

Demographics of patient with cyclic mastalgia

Answer 1

30-40 years

Question 2

Exam for cyclic mastalgia

Answer 2

nodules and lumps, coinciding with pain, most commonly upper outer area.

Question 3

First line treatment for cyclic mastalgia

Answer 3

Evening primrose oil caps 5-8 cap per day for at least 2 months. Relieves pain in 50% of women

Question 4

Other treatment for cyclic mastalgia

Answer 4

OCOs, NSAIDS, warm compress, breast support, danzole, or bromocriptine

Question 5

Causes of non-cyclic mastalgia

Answer 5

starting on OCPs, HRT, other medications, breast cancer

Question 6

Most common causes of mastitis?

Answer 6

Bad latch from breast feeding

Question 7

Treatment for mastitis

Answer 7

Keflex, nurse of affected side, tight fighting bra 24/7, warm compress

Question 8

Demographics of Cysts?

Answer 8

40-55 years old, rarely in post menopausal or younger

Question 9

Cause of cyst?

Answer 9

Lobules are in process of involution and storm is being replaced with fibrous tissue

Question 10

Common cause of breast abscess?

Answer 10

Staph aureus

Question 11

Exam for breast abscess?

Answer 11

erythema, swelling, induration

Question 12

Treatment of breast abscess?

Answer 12

antibiotics, warm compress, breast binding, DO NOT feed on affected side

Question 13

Demographics of fibroadenoma?

Answer 13

15-25, most common mass under 40 years old

Question 14

Cause of fibroadenoma?

Answer 14

Proliferation of tissue around breast

Question 15

Exam for fibroadenoma?

Answer 15

Smooth, but can be lobulated, 1-3 cm, firm, round, mobile

Question 16

Diagnosis of fibroadenoma?

Answer 16

Require ultrasound

Question 17

Treatment of fibroadenoma?

Answer 17

Usually excision is recommended. If not, will resolve, stay same, or grow.

Question 18

Exam of fibrocystic mass?

Answer 18

Dense tissue, waffle texture, worsen before menses and lessen near end

Question 19

Diagnosis of fibrocystic mad?

Answer 19

MMG

Question 20

Fibrocystic mass biopsy findings?

Answer 20

70% non proliferative
26% proliferative atypical
4% hyperplasia

Question 21

Treatment of fibrocystic mass?

Answer 21

Aspiration of fluid
If blood is aspirated, cancer work up
NSAID, COC, diuretic
Warm compresses and support for breast

Question 22

Three groups of breast lesions

Answer 22

1. non proliferative
2. Proliferative without atypic
3. Proliferative with atypia

Question 23

Proliferative lesions with atypia breast cancer risk?

Answer 23

4-5 times higher. Include

Question 24

TNM staging of breast cancer?

Answer 24

T- tumor size and how far it has spread
N- lymph node involvement
M- presence or abscense of distant metastases

Question 25

SEER- what does it stand for?

Answer 25

Surveillance, epidemiology, and end result

Question 26

What's the difference between spontaneous and non spontaneous nipple discharge?

Answer 26

Spontaneous- possible pathology | Non-spontaneous- usually benign

Question 27

How eczema presents

Answer 27

Bilateral, rapid evolution, moist, indefinite edge, nipple may be spared, itching common

Question 28

Paget's Disease persentation

Answer 28

unilateral, slow steady progression, moist OR dry, irregular but defined, nipple always involved

Question 29

What to do for eczema and page's disease?

Answer 29

Refer to dermatologist.

Question 30

Most common form of non-invasive breast cancer?

Answer 30

Ductal, then lobular, then inflammatory

Question 31

Most aggressive type of breast cancer?

Answer 31

Inflammatory breast cancer.

Question 32

Diagnosis of inflammatory breast cancer?

Answer 32

Need biopsy. will not show up on imaging

Question 33

Reproductive history risk factors for breast cancer?

Answer 33

Slight Age after 30 of first birth Nulliparity Early monarchy (55

Question 34

Personal breast cancer history risk for breast cancer?

Answer 34

1% for first 10 years | 20 year risk is 2-21

Question 35

Family history risk for breast cancer?

Answer 35

First degree relative (

Question 36

Sensitiivty and specificity of mammography?

Answer 36

90 and 90%

Question 37

How often should women do mammogram

Answer 37

annually over 40 years old

Question 38

How often should you do screening for women with breast implants?

Answer 38

MRI 3 years after and then every 2 years after