Breast lumps Flashcards

1
Q

symptoms

A

lump
pain
nipple discharge
skin changes

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2
Q

RF

A
Age 
female 
menstrual history - early menarche, late menopause, nulliparity, age of first pregnancy, contraception 
HRT 
FH - BRCA1/2
Previous breast disease / surgery 
lifestyle - alcohol, obesity
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3
Q

describing a lump

A
size, shape, fixity 
consistency 
fluctuant 
pulsation 
overlying skin
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4
Q

triple assessment

A

examination
radiology
biopsy

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5
Q

imaging methods

A

USS <40
Mammogram >40
MRI

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6
Q

methods of tissue biopsy

A

FNA cytology
core biopsy
vacuum assisted biopsy

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7
Q

which is better, FNA or core biopsy

A

core biopsy

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8
Q

mammography

A

2 views
oblique and craniocaudal
ionising radiation therefore only once a year

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9
Q

mammography sensitivity increases with age, true or false

A

true, because of reduced fat content

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10
Q

can you see calcification on USS

A

no

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11
Q

axillary disease is a good/bad prognostic factor

A

bad

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