Breast Lumps

Question 1

Dilated ducts/bleeding of nipple?

Answer 1

duct ectasia

Question 2

Treatment of intraductal papilla?

Answer 2

remove, can become malignant

Question 3

What does stereotactic localization mean?

Answer 3

done with mammogram

Question 4

In what age of patients is mammogram more effective?

Answer 4

older (less dense, more fat)

Question 5

If breast is very dense what colour is it?

Answer 5

more white

Question 6

If breasts are v v dense what investigation can be done?

Answer 6

MRI

Question 7

Hard, craggy lump but normal US?

Answer 7

fat necrosis

Question 8

Investigation for LOBULAR cancers?

Answer 8

MRI - hard to see on US/mammorgram

Question 9

What nodes does breast cancer most often go to?

Answer 9

axillary

Question 10

All patients over 40 should get what?

Answer 10

US and mammogram

Question 11

risk factors?

Answer 11

early menarche, late menopause
null parity
obese

Question 12

How much breast cancer is hereditary?

Answer 12

5-10%

Question 13

When is neoadjuvant chemo done?

Answer 13

before surgery

Question 14

if HER 2 positive give what?

Answer 14

herceptin

Question 15

What hormonal therapy can be given in pre/peri menopausal women?

Answer 15

tamoxifen

Question 16

What hormonal therapy can be given in post menopausal women?

Answer 16

letrozol/anastrozole

Question 17

Is radiotherapy given for mastectomy patients?

Answer 17

no

Question 18

How is DCIS treated?

Answer 18

same as cancers but no axillary surgery and no systemic tx