Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Breast > Breast Investigation and Examination > Flashcards

Breast Investigation and Examination Flashcards

1
Q

What do you do if breast abnormality in >40

A

Mammogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do you do if focal lesion (pin point / discharge / dimpling)

A

USS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who gets screening

A 
Women 
50-70
3 yearly mammogram
Annual if high risk gene / RT
Previous malignancy for follow up
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What do you do once >70

A

Have to invite themselves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do you want screening to detect

A

DCIS

<15mm impalpable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What do you get if known BRCA1/2 mutation

A

Annual MRI up till 50
Annual mammogram after
Might opt for mastectomy + oophorectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do you do if <35

A

USS

Breast is too dense so won’t pick up malignant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens as you get older

A

Breast replaced with adipose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do you do if mammogram +ve

A

Assessment clinic
Examination
Mammogram + USS
Further Rx e.g. biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

USS

A

Cyst = black

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

USS

A

Cyst = black (U2)
If solid = U3 further Ix
Irregular / shadow = behind
Tall / thin / acoustic enhancement = benign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What normal can you see

A

Rib and lung behind pec major

Skin on top

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When do you do MRI

A

Recurrent
Implants
High risk <50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When do you do USS

A

Axilla

Cystic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do you do if cyst

A

Aspirate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do you do if U3

A

USG biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What do you do if U4/5

A

Biopsy

Axillary USS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What do you do if can’t see lesion on USS

A

Sterocore biopsy

USS axilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When is FNAC used

A

After mammography
If cystic lesion
Most get biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are complications of FNAC

A

Pain / faint
Haematoma
Infection
Pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When do you do core biopsy

A

Following FNAC or if symptomatic or hard lump

Investigation of choice for all cases with clinical or radiological suspicion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How do you do it

A

USS guied

Stereotatic (mammography)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does biopsy do

A

Confirm invasion
Tumour type and grade
Immunohistochemistry report for receptor status

24
Q

What do you do if DCIS

A

Much larger biopsy as don’t want to miss invasion

25
Q

What does histological report show

A 
Invasive vs in-situ
Ductal vs lobular
Grade 1-3
Size of tumour
Margins
LN invovlenet
ER / PR
HER-2
26
Q

What are other options

A

Punch biopsy if skin lesion
Nipple smear of discharge
Urine dip of smear for blood

27
Q

What does SNB involve

A

Inject dye
Goes to lymphatics
Remove node with highest frequency or blue or any malignant
Max = 4

28
Q

What is SNB +VE

A

Risk of spread to other nodes

Need clearance

29
Q

If SNB -ve

A

Aall nodes -ve

30
Q

What suggests DCIS on mammogram

A

Microcalcification

31
Q

What does glandular tissue show as

A

White and dense

32
Q

What does fat show as

A

Grey

33
Q

What does HRT do

A

Makes breast more dense

34
Q

What views for mammogram

A

Medial + Lateral oblique - axilla / pec

Craniocaudal

35
Q

Benign mammogram

A 
Smooth
Lobulated
Normal density
Halo 
Round calcifications
36
Q

Malignant mammogram

A 
Irregular
Illdefined
Speculated
Dense - much whiter
Enlarged LN on MLO 
Tension sign as cancer pulls in
37
Q

What is any well defined white lesion

A

M3

Need USS to differentiate cyst from solid

38
Q

What do you look for on mamogram

A 
Microclacification
Soft tissue opacity
Distortion
Asyymetry
Axila for enlarged node on MLO
39
Q

How do you describe

A 
MLO and CC views 
Background Brest tissue - dense / radiolucent
Describe abnormality
Asymmetric density
Speculate mass
Well defined mas
Archiectural distortion
Microcalcification
40
Q

What is adult breast divided into

A

Nipple
Axilla tail - project upper quadrant
4 quadrant

41
Q

Where does breast extend

A

Midline to lat dorsi

Clavicle to upper abdo

42
Q

How do you document lump

A

4 students
3 teachers
at
CAMPFIRE

43
Q

Lump

A 
Site
Size
Shape
Surface
Tender
Temp
Transilumination
Consistency 
Appearance - colour?
Mobility
Pulsation
Fluctuation
Irregualrity
Regional LN
Edge
44
Q

What should breast be

A 
Smooth
Uninterrupted
Same colour
Veins enlarged in pregnacy 
Can be asymmetric
45
Q

What should nipple be

A

Areola - pink to brown
Smooth
Can get sebaceous cyst / Montgomery tubule

46
Q

Anatomy of breast

A

Pec major and minor in front
Serratus anterior
Lat dorsi

47
Q

What supplies pec

A

C5,6,7

48
Q

What supplies serrates anterior

A

Long thoracic

Wing if damaged

49
Q

What supplies lat dorsi

A

Thoracodorsal

50
Q

If aspirate and clear fluid

A

Discard and reassure

51
Q

If bloody

A

Cytology

52
Q

If residual mass

A

Core biopsy

53
Q

If solid lump

A

Core biopsy

54
Q

Limitations of screening

A 
OverDx 
False +ve leading to unnecessary further investigation 
False -ve leading to reassurance 
Pain and discomfort 
Exposure to radiation
Psychologicla
55
Q

Benefits

A

Reduced mortality

Early detection so can do breast conserving treatment

Breast (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions