Breast Triggers Flashcards
44 yo M being treated for NYHA 3 heart failure presents with gynecomastia
Spironolactone
32 yo postpartum female (4 weeks) presents with fever, breast tenderness/erythema-
mastitis (may become an abscess, encourage breastfeeding, give dicloxacillin)
22 yo F presents with multiple mobile breast masses, these masses become more painful and “wax and wane” in size with the menstrual cycle
fibrocystic change (OCPs, caffeine reduction may help)
23 yo F presents with a solitary, mobile, well defined, painless breast mass
fibroadenoma
31 yo F presents with a bloody nipple discharge
intraductal papilloma
49 yo F presents with a large breast mass, core needle biopsy reveals a mass containing structures with “leaf like projections” on histology-
Phyllodes tumor
BRCA mutation that is more commonly associated with male breast cancers-
BRCA2
Most common location of breast cancers
Upper outer quadrant of the breast
Receptor positivity commonly found in lobular carcinoma in situ (LCIS)-
ER and PR positivity
Most common form of invasive breast cancer
Invasive ductal carcinoma
55 yo F presents with a breast mass. PE reveals peau d’orange changes
Inflammatory breast cancer
55 yo F presents with an eczematoid, scaly appearing lesion around the nipple-
Paget’s breast dz
Differences in survival b/w lumpectomy w/radiation vs mastectomy for early stage breast cancers?
No
NBSIM of a female with DCIS who has a +ve sentinel LN biopsy-
Axillary LN dissection
Pharmacological treatment of ER/PR +ve breast malignancies-
Tamoxifen (SERM), Anastrozole (aromatase-I)
