Breast Disorders

Question 1

a modified sebaceous gland, located within the superficial fascia of the chest wall

Answer 1

breasts

Question 2

When should a woman be instructed to do breast exams?

Answer 2

7-10 days after period (less lumpy and tender)

Question 3

Stimulates the growth and proliferation of ductile system

Answer 3

estrogen

Question 4

What happens to breast tissue as a women ages?

Answer 4

younger breasts are predominately glandular tissue and as a women ages glands are replaced by fat

Question 5

key components of breast cancer detection programs

Answer 5

Differences in palpable consistency and in radiographic density between the glands and fat

Question 6

Most common place for breast cancer

Answer 6

upper/outer quadrant of breast

Question 7

Why do breasts feel swollen, painful, tender, or lumpy during menstruation?

Answer 7

Milk glands and ducts enlarge and retain water

Question 8

Most significant risk factor for breast cancer after gender

Answer 8

age

Question 9

What type of genes are BRCA1 and BRCA2?

Answer 9

tumor suppressor genes

Question 10

What is a solitary, non-mobile breast mass that is firm to hard suggestive of?

Answer 10

breast cancer

Question 11

exaggerated physiologic response to a changing hormonal environment. Is the most frequent lesion of the breast

Answer 11

fibrocystic change

Question 12

What exacerbates fibrocystic change?

Answer 12

premenstrual period and ETOH

Question 13

Benign neoplasm made from an overgrowth of glandular and fibrous breast tissue. Occurs frequently in young women

Answer 13

fibroadenoma

Question 14

What would you feel on palpation with a fibroadenoma?

Answer 14

mass slides between the fingers and is easily moveably

Question 15

Lump that is round, non-tender, rubbery and has smooth margins

Answer 15

fibroadenoma

Question 16

Used to evaluate fibroadenomas

Answer 16

ultrasound

Question 17

Treatment recommendations for fibroadenomas in all women > 40yrs

Answer 17

excision

Question 18

What are the two main differences between fibroadenomas and phyllodes?

Answer 18

phyllodes tumors tend to grow more quickly and develop about 10 years later in life — in the 40s as opposed to the 30s

Question 19

preferred imaging if a palpable mass is found, if a patient is younger than 30 years, or if the patient is pregnant.

Answer 19

ultrasonography

Question 20

preferred imaging if patient has a palpable mass, is older than 30-35 years, and is not pregnant

Answer 20

mammography

Question 21

Breast tenderness or warmth to the touch. Fever. Swelling of the breast. Skin redness in a wedge-shaped pattern. Pain or a burning sensation continuously or while breast-feeding

Answer 21

Mastitis

Question 22

When does mastitis frequently present?

Answer 22

within 3 months after delivery

Question 23

Organism involved with mastitis

Answer 23

s. aureus

Question 24

Antibiotic for PCN resisitant staph

Answer 24

Dicloxacillin or a cephalosporin (Keflex) for 5-7 days

Question 25

tiny wart-like growth in breast tissue that sometimes punctures a duct. Most common cause of spontaneous nipple discharge

Answer 25

intraductal papilloma

Question 26

Work-up for intraductal papilloma

Answer 26

breast biopsy to rule out cancer and xray w/contrast (ductogram)

Question 27

Treatment for intraductal papilloma

Answer 27

surgically remove involved duct

Question 28

What is breast tenderness usually related to?

Answer 28

fibrocystic changes

Question 29

Dietary factors to avoid to alleviate breast tenderness

Answer 29

caffeine, chocolate, salt