Diagnosis Of Breast Cancer

Question 1

IOC

Answer 1

Tru-cut biopsy

Question 2

IOC to staging breast cancer

Answer 2

18 FDG( Fluoro deoxy glucose)

PET-CT

Question 3

TNM staging

Answer 3

Tumour
Lymph nodes
Metastasis

Question 4

Prefixes for TNM

Answer 4

CTNM - clinical
pTNM-Pathological
rTNM-Recurrent
mTNM-Multiple
yTNM-After neoadjuvant therapy
aTNM-Autopsy

Question 5

TNM Staging of breast cancer

Answer 5

pTX -cannot be accessible
pT0-no evidence
pTis-insitu
pTis(DCIS)
pTis(paget)
pT1mi <=1mm
pT1a>1mm<=5mm
pT1b 5mm-10mm
pT1c 10mm-20mm
pT2>20mm<=50mm
pT3>50mm

Question 6

T4 is divided into

Answer 6

T4A-chest wall involvement
T4B-Involvent of skin
T4C- A+B
T4D-Inflammatory bready cancer

Question 7

Nodal staging

Answer 7

N0
Nx
N1
N2(A, B)
N3(A, B, C)

Question 8

Contralateral lymh nodes in breast cancer are considered diatant meds provided

Answer 8

No tumour on other side

Question 9

N3

Answer 9

A-infraclavicular LN
B-Internal mammary +axillary LN
C-Supraclavicular LN

Question 10

N2

Answer 10

A-fixed Or matted axillary lymph nodes
B-internal mammary lymph nodes in absence of axillary LN

Question 11

M classificals

Answer 11

M0-no distant metastasis
Mx-
M1- +ve distant metastasis

Question 12

Most common distant metastasis in breast cancer

Answer 12

Bones(vertebral column)

Question 13

Why vertebral column

Answer 13

Batson plexus of valveless veins

Question 14

Which vertebrae

Answer 14

Lumbar>thoracic

Question 15

What type of bone metastasis

Answer 15

Osteolytic>osteoblastic