Brainscape's Knowledge GenomeTM

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


See full index

MS4 -Breast > Breast Lumps > Flashcards

Breast Lumps Flashcards

1
Q

Breast lump assessment

A

Triple assessment:

1) Clinical examination
2) Radiology
3) Histology / Cytology

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

Radiological assessment for breast lumps

A

< 35 yrs USS

> 35 yrs USS + mammogram

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

Modes of cytology for breast lump assessment

A

Core biopsy or Fine needle aspiration

+/- Sentinel node biopsy

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

Role of sentinel node biopsy

A

Reduces unnecessary axillary lymph node clearance

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

Breast cyst definition

A

Benign
Fluid filled
Mobile

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

Breast cyst epidemiology

A

Common > 35 yrs

esp Peri-menopausal

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

Mastitis / Breast abscess definition

A

Infection of mammary duct

Associated with lactation

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

Most common cause of mastitis

A

Staph aureus

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

Sx of breast abscess

A

Painful, hot swelling of breast segment

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

Mx of breast abscess

A

Abx / drainage

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

Mx of mastitis

A

Abx if:
Milk culture positive
Open infected nipple fissure
Failure to improve with 24hrs effective milk removal

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

Abx for mastitis

A

Flucloxacillin

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

Duct ectasia definition

A

Around menopause
Ducts become blocked
Secretions stagnate

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

Sx of duct ectasia

A

Nipple discharge
Green/brown/bloody

+/- nipple retraction or lump

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

Mx of duct ectasia

A

Usually none required

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

Fat necrosis definition

A

Lump following breast tissue injury
Fibrosis + calcification post injury
No Rx needed

17
Q

Fibroademona definition

A

Benign overgrowth of collagenous mesenchyme of one breast lobule

18
Q

Fibroadenoma age of presentation

A

Usually < 30 yrs

19
Q

Sx of fibroadenoma

A

Firm
Smooth
Mobile
Painless

20
Q

Mx of fibroadenoma

A

Observation and reassurance

Surgical excision if large

21
Q

Biochemical cause of gynaecomastia

A

Raised oestrogen/androgen ratio

22
Q

Causes of gynaecomastia

A 
Hypogonadism
Liver cirrhosis
Hyperthyroidism
Tumours
Drugs
23
Q

Drug causes of gynaecomastia

A

Oestrogen
Spironolactone
Digoxin

24
Q

Paget’s disease of the breast

A

Intra-epidermal spread of an intraduct cancer

25
Q

Sx of Paget’s disease of breast

A

Any red scaly lesion of nipple - must biopsy

Looks like eczema

26
Q

Mx of Paget’s disease of breast

A

Breast conserving surgery
+ Radiotherapy
+ Sentinel node biopsy

27
Q

Tamoxifen

A

ER antagonist

Hormonal therapy for ER positive tumours

28
Q

Anastrozole

A

Aromatase inhibitor
Post-menopausal hormonal therapy for ER positive tumours
Targets peripheral E2 synthesis

29
Q

Generic name for Herceptin

A

Traztuzumab

30
Q

Traztuzumab

A

For HER2 positive tumours

31
Q

Goserelin

A

GnRH analogue
If premenopausal + ER positive
Shrink tumour prior to surgery

MS4 -Breast (2 decks)

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