breasts Flashcards
triple assessment for breast cancer involves
Triple assessment, as the name indicates, includes three modalities, physical examination, imaging (mammography and/or ultrasound), and biopsy (FNAC and core biopsy).
tumoru of T2 what would happen
wide local excision and adjuvant radiotherapy
tumour at T3 or more
mastectomy plus adjuvant
abx of choice for mastitis
flucloxacillin
abx of choice for mastitis
flucloxacillin
difference between mastitis and breast abscess
accumulation of pus within breast - fever and tender fluctuant mass - complication of mastitis - need to drain and oral/IV abx
if mamography comes back abnormal and yeild a degree of suspicion for breast cancer what shoudl you do
core-needle biopsy of the mass
if over 30 with unexplained breast mass what should happen
2ww for triple assessment - ultrasound for young women
Non-urgent referral should be carried out for patients under 30 years old with an unexplained breast mass.
letrozole treats - oestrogen receptor positive what shiudl you measure with this drug
bone mineral denisty due to osteoporosis risk
new expanding lump, non-tender and freely moveable in 49yr old
phyllodes tumour - connective tissue - fast growing
firbo-adenoma - firm non tender mobile 20-30 - slow growing and unliekly to double in 2w
trastuzumab - HER2 receptor positive what shoudl you monitor
cardiac function - cardiotoxicity
anastrozole used when
when tomoixfen
oestrogen receptor postive in post-menopausal women
tamoxifen - ostrogen receptor psotive in pre or peri menopausal
anastrozole used when
when tomoixfen
oestrogen receptor postive in post-menopausal women
tamoxifen - ostrogen receptor psotive in pre or peri menopausal
major risk factor for periductal mastitis
smoking
ultrasound under what age if symtpomatic and if asymtpomati what age due to dense breast tissue
35 and 40
mammogrpahy afterwards