Breast lump - Cancer Flashcards
1
Q
What are the common examination findings?
A
On inspection - May have inversion, dimpling, pagets, peau d’orange.
May have palpable lymphadenopathy
Painless lump tethered to breast
2
Q
What are the investigations?
A
By the bed - History, obs
Triple Assessment:
- History and exam
- US if under 35 mammogram if over
- FNAB
3
Q
What is the treatment?
A
Conservative -Explain what it is and offer support
Mixture or resection, chemo, biological and radiotherapy depending on status
4
Q
What are risk factors?
A
Family History
COCP or other oestrogen/progesterone contraceptives
BRACA gene
Alcohol, smoking
If oestrogen positive then anything with high oestrogen state eg early menarche, no kids, late menopause, obesity
5
Q
When is screening offfered?
A
50 if no risk factors, earlier if FH
Every 3 years
