Breast Health (session 7)

Question 1

What are the most common presentations of breast disease?

Answer 1

Swelling and tenderness
Nodularity
Breast pain
Palpable breast lumps
Nipple discharge
Breast inflammation

Question 2

What are the risk factors for breast cancer?

Answer 2

F>M
Inc oestrogen exposure- early menarche and late menopause
High breast density, due to lobules
Hereditary and BRCA1/2

Question 3

How is breast cancer diagnosed?

Answer 3

Triple diagnosis
Clinical- Hx, FHx, Ex
Imaging- mammogram and USS
Pathology- core biopsy and fine needle aspiration cytology (FNAC)

Question 4

What are the most common types of breast cancer? (In order of most common to least)

Answer 4

.

Question 5

What are the most common types of invasive breast cancer? (In order of most common to least)

Answer 5

Invasive ductal carcinoma
Invasive lobular carcinoma
Invasive tubular carcinoma
Invasive mucinous carcinoma

Question 6

Briefly describe DCIS

Answer 6

Ductal carcinoma in situ
Limited to ducts and lobules by BM
Non-obligate precursor of invasive carcinoma
Can spread through ducts or lobules extensively

Question 7

Briefly describe Paget’s disease

Answer 7

DCIS extends to nipple skin without crossing BM