Clinical--Week 2 - Sheet1

Question 1

Where does breast lymphatic tissue usually drain to?

Answer 1

ipsilateral axilla

Question 2

epidem. of breast cancer

Answer 2

2nd leading cause of cancer death among women in US

Question 3

BRCA1 or BRCA2 gene mutation

Answer 3

autosomal dominant–DNA repair protein. Associated with breast and ovarian cancer. (5-10% risk). With mutation, ~50% risk of developing breast cancer by age 70.

Question 4

Screening guidlines for women and breast cancer.

Answer 4

Biennial screening mammography for women 50-74 years of age.

Question 5

What is the treatment timeframe for the clinical breast exam?

Answer 5

every 3 years for women age 20-39. annually for women 40 and older

Question 6

mastalgia

Answer 6

breast pain–not a risk factor for breast cancer

Question 7

physiological breast discharge

Answer 7

bilateral, multiple ducts; normal for year post breast feeding, galactorrhea (endocrinopathy), medications (hormones)

Question 8

pathological breast discharge

Answer 8

spontaneous, unilateral, clear/bloody; caused by intraductal papilloma, ductal ectasia, carcinoma, and infection.

Question 9

Malignant breast characteristics

Answer 9

hard, immobile, fixed to surrounding tissue and poorly defined margins.

Question 10

What are the three causes of breast masses?

Answer 10

fibroadenoma, cysts, and BC