Breast Guidelines

Question 1

Fibroadenoma: when do you excise

Answer 1

if >3cm

Question 2

Breast cyst Ix

Answer 2

Aspirate it. If blood filled, biopsy and excise

Question 3

Fat necrosis Ix

Answer 3

Core biopsy

Question 4

Duct pappiloma

Answer 4

Microdochectomy

Question 5

Breast abscess

Answer 5

Drain and antibiotics

Question 6

mastitis

Answer 6

continue breastfeeding. 10-14d fluclox PO if nipple fissure, persisting beyond 12-24hr, systemically unwell

Question 7

breast cancer screening frequency

Answer 7

47-72 every 3 years

after that make own appointment

Question 8

Who gets early breast Ca screening

Answer 8

1 relative <40y
1 relative bilateral Ca <50y
Male breast cancer relative

Question 9

When do you do a WLE

Answer 9

DCIS <4cm
small lesion large breast
peripheral
solitary lesion

Question 10

When do you do adjuvant radiotherapy

Answer 10

After a WLE

If mastectomy with 4+ lymph nodes

Question 11

ER+ cancer medical treatment

Answer 11

Tamoxifen for 5yrs

Aromatase inhibitors if post-menopausal

Question 12

herceptin CI

Answer 12

heart disorders

Question 13

2ww criteria for breast lump

Answer 13

30+ with a breast lump. EVEN if it sounds like a fibroadenoma they still get 2ww’d