breast lecture / NICE key points Flashcards
normal hormonal discharge
multiduct
clear
brown
white
profuse and white discharge
prolactinoma
duct ectasia discharge
multiduct and yellow / white
bloody discharge most common
papilloma
screening
from 50-70 every 3 years - mammogram
when USS axilla
if something worrying in breast on US or mammo
only ipsilateral axilla
ix for simple cyst
clinical exam
USS / mammo
no biopsy - unless for sx relief
do fibroadenoma get biopsy
no if under 30 and definitely fibro on USS
cut off for mammogram
40 yrs
breast cancer risk factors
most common type of breast cancer
invasive ductal carcinoma (no-special type)
nice criteria for referral
criteria for mastectomy
criteria for wide local excision
when is radiotherapy needed
after wide local excision
or mastectomy if T3-T4 tumours
when is family hx significant
Age of diagnosis < 40 years
Bilateral breast cancer - first less 50yrs
Male breast cancer
2 first degree / one first and one 2nd degree
Ovarian cancer
one first / second degree relative with ovarian cancer at any age
Jewish ancestry
Sarcoma in a relative younger than age 45 years
Glioma or childhood adrenal cortical carcinomas
Complicated patterns of multiple cancers at a young age
Paternal history of breast cancer (two or more relatives on the father’s side of the family)
