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Superficials > CH 21 - BREAST > Flashcards

CH 21 - BREAST Flashcards

0
Q

WHERE DOES THE BREAST EXTEND INTO?

A

AXILLA (TAIL OF SPENCE)

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1
Q

WHAT IS THE BREAST COMPOSED OF?

A

FIBROUS, GLANDULAR, ADIPOSE

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2
Q

WHERE DOES THE MAMMARY MILK LINE EXTEND FROM?

A

AXILLA TO PUBIC SYM

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3
Q

WHAT ARE THE LAYERS OF THE BREAST?

A

SUBCUTANEOUS
MAMMARY/GLANDULAR LAYER
RETROMAMMARY

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4
Q

THIS IS THE THIN, FATTY LAYER SURROUNDED BY CONNECTIVE TISSUE.

A

SUBCUTANEOUS LAYER

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5
Q

THIS CONTAINS 15-20 FCTNL LOBES FROM THE NIPPLE TO TERMINAL DUCTAL LOBULAR UNITS

A

MAMMARY/GLANDULAR LAYER

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6
Q

THIS DIVIDES THE BREAST INTO LOBES & LOBULES & SUPPORT SHAPE & STRUCTURE.

A

SUSPENSORY (COOPER) LIGAMENT

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7
Q

THIS IS BETWEEN THE MAMMARY LAYER & PECTORALIS MAJOR MUSCLE.

A

RETROMAMMARY LAYER

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8
Q

WITH U/S THE FATTY TISSUE APPEARS ______, AND THE DUCTS, GLANDS, AND SUPPORTING LIG APPEAR _____.

A

HYPOECHOIC

ECHOGENIC

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9
Q

WHERE DO MOST TUMORS OF THE BREAST ORIGINATE?

A

WITHIN THE DUCTS

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10
Q

WHAT REGION OF THE BREAST ARE MOST TUMORS FOUND?

A

UPPER OUTER QUADRANT DUE TO A HIGH CONCENTRATION OF LOBES.

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11
Q

HOW DOES DUCTS, PECTORALIS MUSCLE, RIBS, AND AXILL VESSELS APPEAR WITH MAMMO?

A

WHITE

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12
Q

WHAT IS THE PARENCHYMAL PATTERN OF A YOUNG WOMAN?

A
  • INCREASED FIBROUS TISSUE
  • DENSE ECHOGENIC PATTERN
  • DIFFICULT TO EVAL WITH MAMMO
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13
Q

WHAT IS THE PARENCHYMAL PATTERN OF A PREGNANT/LACTATING WOMAN?

A
  • PROLIFERATING GLANDULAR TISSUE
  • INCREASED DENSITY & VOLUME
  • DECREASED ECHOGENICITY
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14
Q

WHAT IS THE PARENCHYMAL PATTERN WITH OLDER WOMEN?

A
  • GLANDULAR CELL DEATH
  • TISSUE REPLACED BY FAT
  • ALL LAYERS HYPOECHOIC
  • IS MOST DIFFICULT TO EVAL WITH U/S BUT EASY WITH MAMMO
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15
Q

WHERE DOES LYMPHATIC DRAINAGE FLOW?

A

TO THE AXILLARY LYMPH NODES

16
Q

A CONDITION IN MEN WHERE THE DUCTAL ELEMENTS HYPERTROPHY IS CALLED _______.

A

GYNECOMASTIA

17
Q

WHAT CAN LEAD TO BREAST CANCER IN MEN?

A 
KLINEFELTERS SYNDROM
MALE TO FEMALE TRANSEXUAL
CHEST WALL IRRADATION
ORCHITIS OR TESTICULAR TUMOR
LIVER DISEASE
GENES
18
Q

AT WHAT AGE SHOULD SELF EXAMS, CLINICAL EXAMS, AND SCREENING BEGIN?

A

SELF EXAMS - STARTING AT 20

CLINICAL EXAMS - AGES 20 - 39 EVERY 3 YEARS
AT 40 EVERY YEAR

SCREENING - AT 40

19
Q

IS U/S USED AS A SCREENING TEST?

A

NO

20
Q

WHAT IS BREAST U/S USEFUL FOR?

A

DENSE BREAST
EVAL PALPABLE MASSES NOT SEEN WITH MAMMO
IMAGE THE DEEP JUXTATHORACIC

21
Q

WHAT IS BI-RADS?

A

BREAST IMAGING REPORTING AND DATA SYSTEM

- A SYSTEM THAT WAS DEVELOPED BY AMERICAN COLLEGE OF RADIOLOGY AS AN ASSESSMENT OF OUTCOME (RATING SYSTEM)

22
Q

WHAT ARE SOME INDICATIONS FOR BREAST U/S RATHER THAN MAMMO?

A 
PALPABLE BREAST LUMP
DENSE BREAST
AUGMENTATION
PREGNANT OR LACTATING
DIFFICULT OR COMPROMISED MAMMO
23
Q

WHAT DOES THE STEP LADDER OR LINUINE SIGN INDICATE?

A

RUPTURED AUGMENTATION

24
Q

WHAT IS A SIGN OF A MALIGNANT MASS?

A

TALLER THAN WIDE
RADIAL GROWTH
WEAK INTERNAL ECHOES
MICROCALICIFICATIONS

25
Q

IS A MALIGNANT MASS MOBILE?

A

NO, IT WILL BE FIRMLY FIXED.

A BENIGN MASS IS MOBILE

26
Q

CAN YOU COMPRESS A MALIGNANT MASS?

A

NO, IT WILL BE RIGID AND NON-COMPRESSIBLE.

BENIGN MASSES ARE COMPRESSIBLE.

27
Q

BENIGN CYSTS ARE COMMONLY SEEN IN AGES ___ TO ___.

A

35 TO 55

28
Q

WHAT IS THE MOST COMMON BENIGN TUMOR IN YOUNG WOMEN?

A

FIBROADENOMA

29
Q

WHAT ARE THE CHARACTERISTICS OF A FIBROADENOMA?

A
  • FIRM, RUBBERY, FREELY MOBILE
  • UNILAT OR BILAT, ROUND OR OVAL
  • NO PAIN SLOW GROWTH
  • LOW-LEVEL HOMOGENEOUS ECHOES
  • ENHANCEMENT
30
Q

THIS IS A FATTY TUMOR THAT IS FOUND IN MIDDLE AGED-MENOPAUSE WOMEN.

A

LIPOMA - HYPOECHOIC SIMILAR TO FAT

- ENHANCEMENT

31
Q

THIS GROWS IN THE ACINI OF WOMEN AGES 35-55 YRS OLD.

A

INTRADUCTAL PAPILLOMA

32
Q

WHAT TYPE OF APPEARANCE DOES A INTRADUCTAL PAPILLOMA HAVE ON MAMMO?

A

RASPBERRY

33
Q

WHAT IS THE PREDOMINANT SYMPTOM OF INTRADUCTAL PAPILLOMAS?

A

SPONTANEOUS COPEOUS NIPPLE DISCHARGE , PRECEDED BY FULLNESS OR PAIN IN THE AREOLA.

34
Q

WHAT IS THE U/S APPEARANCE OF A INTRADUCTAL PAPILLOMA?

A
  • INTRADUCTAL
  • SMALL, MULTIPLE
  • VASCULAR STALK
35
Q

THIS BEGINS IN THE DUCTS AND INVADES THE FATTY TISSUE. IT IS 80% OF BREAST CANCERS.

A

INVASIVE DUCTAL CARCINOMA

36
Q

HOW DOES INVASIVE DUCTAL CARCINOMA SPREAD?

A

IT METASTISIZES VIA BLOODSTREAM OR LYMPHATICS

37
Q

THIS HAS A 100% CURE RATE. IT IS CHARACTERIZED BY CANCER CELLS THAT ARE PRESENT INSIDE THE DUCTS BUT HAVE NOT YET SPREAD THROUGH THE WALLS OF THE DUCTS.

A

DUCTAL CARCINOMA IN SITU (DCIS)

38
Q

THIS BEGINS IN LOBULE & EXTENDS INTO THE FATTY TISSUE. IT IS THE 2ND MOST COMMON BREAST CANCER.

A

INVASIVE LOBULAR CARCINOMA

Superficials (7 decks)

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