Breasts Flashcards
Number of lobes in each breast
15-20
Provide’s a route for breast cancer metastases
Batson’s plexus
Aka rotter’s nodes
Interpectoral group- level II
Gynecomastia is breast tissue at least
2 cms in diamter
Epidermal puerperal mastitis is due to
MRSA
Variant of thrombophlebitis that involved the superficial veins of the anterior chest and breast
Mondor’s disease
Mgmt for fibroadenoma
> 3 cms: excise; otherwis observe
Formed when breast strona involuted too quickly
Cysts
Most common presentation of breast CA
Microcalcifications, fine linear, branching, varies in shape
Breast cancer risk assessment
Gail model (1.7); screening mammogram; chemoprevention; prophylactic mastectomy
Mammogram is done at
35- baseline; annual from 40
Distinctive for LCIS
Cytoplasmic mucoid globules
Frequent phenotype among BRCA1 cancers
Medullary
Most common type of invasive breast CA
Invasive ductal Ca
Indian file configuration, signet ring
Invasive ductal ca
Stage IIB-
T2, N1,MO; T3, NO, MO
Management for breast CA with distant metastases
Antiestrogen; chemotx
Most common cause of bloody nipple discharge
Intraductal papilloma
grating sound
Invasive ductal carcinoma
Leaf like extensions
Phylloides
Breast cancer management during the 3rd tribof pregnancy
BCS
Managemet during pregnancy: 1st and 2nd tri
MRM
Management for low grade DCIS (<0.5)
Lumpectomy alone
Mgmt of intermediate grade DCIS
Lumpectomy + RT
Management for high grade DCIS
Mastectomy
Management for early invasive breast CA
BCS with or without adjuvant chemo/RT; lumpectomy, ALN status assessment, RT
Mgmt for advanced locoregional breast Ca
Stages IIIa and IIIb- neoadjuvant chemo(adriamycin containing) then BCS or MRM + adjuvant chemo/RT; antiestrogen tx
Where is covgenital epulis seen
Maxilla
Where is epulis gravidarum noted
Gingiva
Managament for stage IV breast CA
Antiestrogen and chemo
Mgmt of pregnant patient with breast Ca on 1st and 2nd tru
MRM
Management for Breast Ca patients that are on the 3rd trimester
BCS
Hypoplasia or complete absence of the breast, costal cartilage and rib defects, hyoplasia of the chest wall, brachysyndactyy
Poland’s syndrome
