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GU pt 2 > Breast mass > Flashcards

Breast mass Flashcards

1
Q

Patient presents with multiple bilateral breast masses with pain that worsens during pre menstruation, what condition might they have?

A

Fibrocystic changes

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2
Q

What is the most frequent lesion of the chest?

A

Fibrocystic changes

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3
Q

What is the most common age for fibrocystic changes?

A

30-50

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4
Q

What imaging should be done for breast masses?

A

Mammogram, US

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5
Q

What dx procedure should be done for breast masses?

A

Core needle biopsy

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6
Q

What should a patient with breast masses be educated on?

A

Avoiding trauma
Wearing supportive bra
Decrease dietary fat intake
Consider eliminating caffeine
Vit E supplement

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7
Q

What is the most common benign neoplasm that occurs in young women?

A

Fibroadenoma

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8
Q

Which population is more likely to have fibroadenoma?

A

Black women

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9
Q

Patient presents with round, rubbery, discrete, relatively moveable, non tender mass around 1-5cm in diameter, what condition might they have?

A

Fibroadenoma

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10
Q

What imaging should be done for fibroadenoma?

A

US

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11
Q

When would an excision be necessary for fibroadenoma?

A

Large or rapidly growing
Larger than 3-4 cm
r/o phyllodes tumor

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12
Q

Patient presents with lesion of breast with skin and nipple retraction, ecchymosis and recently had breast augmentation, what condition do they have?

A

Fat necrosis

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13
Q

What is the second most common cancer in women and second leading cause of cancer death?

A

Breast carcinoma

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14
Q

What is the most significant factor breast carcinoma?

A

Age
Rises rapidly until early 60s and peaks in 70s

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15
Q

What genetic mutations make a women more likely to have breast carcinoma?

A

BRCA 1 and BRCA 2 and other mutations

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16
Q

What menstrual hx will make patient more at risk for breast cancer?

A

Early menarche (<12)
Late menopause (>55)

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17
Q

When should women be screened for breast carcinoma?

A

25-39 q 1-3years
60+ annually

18
Q

What is the most reliable means for detecting breast cancer before a mass is palpable?

A

Mammography

19
Q

Slow growing cancers can be detected how early via mammograms?

A

2 years earlier

20
Q

When should women get mammograms?

A

<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

21
Q

If a patient is high risk for breast carcinoma, other imaging should be done?

A

MRI, US

22
Q

Patient presents with single, non tender, firm to hard mass with ill defined margins, what condition might they have?

A

Early signs of breast carcinoma

23
Q

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?

A

Late signs of breast carcinoma

24
Q

What lab results do you expect for a patient with breast carcinoma?

A

Increase alkaline phosphatase
Increase serum calcium

25
Q

What is the false negative rate of mammograms?

A

3-5%

26
Q

What dx procedure should be done for breast carcinoma?

A

Core needle biopsy?

27
Q

What treatment should be provided for patients with breast carcinoma?

A

Refer to gen surg for surgical resection
Radiation and systemic therapy

28
Q

When does local and distant reoccurrences of breast carcinoma occur?

A

Within first 2-5 years

29
Q

During the first 2 years after being treated for breast carcinoma, how often should they be re evaluated

A

Q 6 months and annually thereafter

30
Q

How often does breast carcinoma occur on the contralateral breast after treatment?

A

20-25%

31
Q

What percentage of men contract breast cancer?

A

Less than 1%

32
Q

What is the average age men get breast cancer?

A

70

33
Q

What mutation is associated with men getting breast cancer?

A

BRCA 2

34
Q

What cancer makes men more susceptible for breast cancer?

A

Prostate cancer

35
Q

Is breast cancer prognosis worse in men or women?

A

Men

36
Q

Male presents with painless lump with nipple discharge and hard, ill defined, non tender mass, what condition might they have?

A

Male breast carcinoma

37
Q

Are benign tumors of the breast common in men?

A

No

38
Q

What imaging should be done for men with breast carcinoma?

A

Mammogram and US

39
Q

What dx procedure is required for male breast carcinoma?

A

Biopsy

40
Q

What is the treatment for male breast carcinoma?

A

Refer to gen surgery for modified radical mastectomy, radiation and systemic therapy

GU pt 2 (24 decks)

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