Emerging Technology & Treatment

Question 1

Concept of the sentinel node

Answer 1

If the sentinel node is clear then the rest of the node basin is clear

Question 2

Concept of the sentinel node

Answer 2

If the sentinel node is clear then the rest of the node basin is clear

Question 3

Biopsy device uses a rotating cutting knife and vacuum-assisted tissue retrieval. (Stereotactic biopsy gun)

Answer 3

Mammotome

Question 4

Tsukuba scoring system applies to what imaging technique for breast ultrasound?

Answer 4

Strain Elastography

Question 5

DCIS is a stage ____ cancer.

Answer 5

0

Question 6

Cytology analysis

Answer 6

Is less invasive retrieval
Smear of cells with less accuracy than histology
Retrieval is FNA

Question 7

When performing an ultrasound guided biopsy the needle should be positioned

Answer 7

Parallel to the chest wall and parallel to the skin

Question 8

CAD

Answer 8

Computer aided detection with manmography

Question 9

ER-/PR-/HER- breast cancer is

Answer 9

Triple negative

Question 10

What is the sentinel node?

Answer 10

The first node to drain lymph from a specific region of the breast

Question 11

The most significant benefit of tomosynthesis or 3D mammography is

Answer 11

Ability to see slices of breast tissue without tissue overlap

Question 12

Somography documentation during biopsy should include

Answer 12

Visualization of biopsy needle within the mass
Guidance of biopsy needle to the mass
Thorough pre-scan for localization of the mass

Question 13

Histology analysis

Answer 13

Core biopsy
Can see cellular anatomy
More accurate diagnosis than cytology

Question 14

An E/B ratio of less than 1 implies

Answer 14

The diameter measurement of the breast lesion on B-mode exceeds the diameter measurement of the color on elastography

Question 15

For surgical lymph node dissection, the axillary lymph nodes are divided into 3 levels depending on their anatomic relationship with

Answer 15

Pectoralis minor muscle

Question 16

Due to the retrieval method, which of the following biopsy techniques offer cytologic findings only?

Answer 16

FNA

Question 17

One method of staging breast cancer upon diagnosis is by using

Answer 17

TNM classification

Question 18

One method of staging breast cancer upon diagnosis is by using

Answer 18

TNM classification

Question 19

Stage 4 breast cancer means

Answer 19

Breast cancer with distant metastasis

Question 20

FNA

Answer 20

Fine needle aspiration

Question 21

When performing an US guided biopsy the needle should be positioned

Answer 21

Along the long axis of the transducer

Question 22

T2 N1 M0 breast cancer is

Answer 22

Medium sized tumor, with lymph nodes, no metastasis

Question 23

The best position of a localization wire for open surgical biopsy is

Answer 23

Within the tumor

Question 24

The breast is immobilized with which form of biopsy technique?

Answer 24

Stereotactic mammography

Question 25

TRAM

Answer 25

Transverse rectus abdominis myocutaneous muscle

Question 26

If the sentinel node is free from cancer, what other procedure may be alleviated?

Answer 26

ALND

Question 27

TRAM flap surgery is a common procedure for

Answer 27

Reconstruction of the breast following mastectomy

Question 28

Surgical removal of the breast, axillary lymph nodes, and pectoral fascia?

Answer 28

Modified radical mastectomy

Question 29

HER2 is a protein common in 25% of breast cancers. What does HER2 stand for?

Answer 29

Human epidermal growth factor receptor 2

Question 30

Positive response to chemotherapy treatment for a breast cancer patient on ultrasound would be the appearance of

Answer 30

Decrease in tumor size and decrease blood flow on Doppler

Question 31

Optimal needle placement during US guided biopsy is

Answer 31

Needle within the lesion

Question 32

Tamoxifen is a popular treatment for breast cancer that is also linked to

Answer 32

Endometrial hyperplasia

Question 33

Breast reconstruction surgeries

Answer 33

DIEP flap TRAM flap gluteal artery flap

Question 34

T in TNM stands for

Answer 34

Tumor size

Question 35

M stands for in TNM

Answer 35

Metastasis

Question 36

In relation to the face of the transducer, which is the optimal plane to visualize the biopsy needle

Answer 36

Sagittal, with the long axis of the transducer

Question 37

Which helps differentiate birads 3 from birads 4

Answer 37

Strain elastography

Question 38

ALND

Answer 38

Axillary lymph node dissection

Question 39

Time out prior to biopsy or surgery includes

Answer 39

Right pt, right location, right procedure

Question 40

The most common complication of an ALND procedure is

Answer 40

Lymphedema

Question 41

Most common form of elastography used in breast imaging

Answer 41

Strain elastography

Question 42

E/B ratio

Answer 42

Elastogram vs B-mode diameter measurement of a lesion on strain elastography

Question 43

Cancer cells in a good CNB sample appear

Answer 43

Firm and white, sink in formaldehyde

Question 44

3D technique that uses radiation to obtain slices and reconstructed as a volume image is

Answer 44

Tomosynthesis

Question 45

Sonography is useful for biopsy guidance vs other imaging modalities bc of

Answer 45

Real time imaging

Question 46

Radioactive seed is placed in the breast

Answer 46

Brachitherapy

Question 47

Hormone therapy is a treatment that attempts to block estrogen from reaching a tumor in what type of patient?

Answer 47

ER+

Question 48

Histology findings

Answer 48

Core Incisional biopsy Excisional biopsy

Question 49

Types of localization techniques

Answer 49

Magnetic seed Wire loc Scout localization that uses infrared light and radar signal