Breast mass Flashcards
Patient presents with multiple bilateral breast masses with pain that worsens during pre menstruation, what condition might they have?
Fibrocystic changes
What is the most frequent lesion of the chest?
Fibrocystic changes
What is the most common age for fibrocystic changes?
30-50
What imaging should be done for breast masses?
Mammogram, US
What dx procedure should be done for breast masses?
Core needle biopsy
What should a patient with breast masses be educated on?
Avoiding trauma
Wearing supportive bra
Decrease dietary fat intake
Consider eliminating caffeine
Vit E supplement
What is the most common benign neoplasm that occurs in young women?
Fibroadenoma
Which population is more likely to have fibroadenoma?
Black women
Patient presents with round, rubbery, discrete, relatively moveable, non tender mass around 1-5cm in diameter, what condition might they have?
Fibroadenoma
What imaging should be done for fibroadenoma?
US
When would an excision be necessary for fibroadenoma?
Large or rapidly growing
Larger than 3-4 cm
r/o phyllodes tumor
Patient presents with lesion of breast with skin and nipple retraction, ecchymosis and recently had breast augmentation, what condition do they have?
Fat necrosis
What is the second most common cancer in women and second leading cause of cancer death?
Breast carcinoma
What is the most significant factor breast carcinoma?
Age
Rises rapidly until early 60s and peaks in 70s
What genetic mutations make a women more likely to have breast carcinoma?
BRCA 1 and BRCA 2 and other mutations
What menstrual hx will make patient more at risk for breast cancer?
Early menarche (<12)
Late menopause (>55)
When should women be screened for breast carcinoma?
25-39 q 1-3years
60+ annually
What is the most reliable means for detecting breast cancer before a mass is palpable?
Mammography
Slow growing cancers can be detected how early via mammograms?
2 years earlier
When should women get mammograms?
<40: not recommended
40-49: decision with patient, q 2yrs if they decide
50-74: q 2yrs unless prior screenings
75+: only if life expectancy is greater than 10 yrs
If a patient is high risk for breast carcinoma, other imaging should be done?
MRI, US
Patient presents with single, non tender, firm to hard mass with ill defined margins, what condition might they have?
Early signs of breast carcinoma
Patient presents with skin and nipple retraction, axillary lymphadenopathy, breast enlargement, erythema, edema, pain and fixation of mass on chest all, what condition might they have?
Late signs of breast carcinoma
What lab results do you expect for a patient with breast carcinoma?
Increase alkaline phosphatase
Increase serum calcium
