Breast surgery

Question 1

Fibroadenomas: surgical excision is usual if

Answer 1

Size is >3cm

Question 2

Next stage after wide local excision of non-metastatic breast cancer

Answer 2

Whole breast radiotherapy is recommended after a woman has had a wide-local excision as this may reduce the risk of recurrence by around two-thirds

Question 3

Drug used in the management of oestrogen receptor-positive breast cancer in pre-menopausal women

Answer 3

Tamoxifen

Question 4

E2 positive breast cancer treatment in pre vs post menopausal women.

Answer 4

Tamoxifen is the first-line option for managing breast cancer in premenopausal women, but not in postmenopausal women. The first-line option for postmenopausal women is aromatase inhibitors which decrease the peripheral synthesis of oestrogen.