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Breast US > Emerging Technology & Treatment > Flashcards

Emerging Technology & Treatment Flashcards

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1
Q

Concept of the sentinel node

A

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

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2
Q

Concept of the sentinel node

A

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

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3
Q

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

A

Mammotome

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4
Q

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

A

Strain Elastography

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5
Q

DCIS is a stage ____ cancer.

A

0

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6
Q

Cytology analysis

A

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

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7
Q

When performing an ultrasound guided biopsy the needle should be positioned

A

Parallel to the chest wall and parallel to the skin

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8
Q

CAD

A

Computer aided detection with manmography

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9
Q

ER-/PR-/HER- breast cancer is

A

Triple negative

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10
Q

What is the sentinel node?

A

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

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11
Q

The most significant benefit of tomosynthesis or 3D mammography is

A

Ability to see slices of breast tissue without tissue overlap

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12
Q

Somography documentation during biopsy should include

A

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

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13
Q

Histology analysis

A

Core biopsy
Can see cellular anatomy
More accurate diagnosis than cytology

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14
Q

An E/B ratio of less than 1 implies

A

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

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15
Q

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

A

Pectoralis minor muscle

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16
Q

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

A

FNA

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17
Q

One method of staging breast cancer upon diagnosis is by using

A

TNM classification

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18
Q

One method of staging breast cancer upon diagnosis is by using

A

TNM classification

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19
Q

Stage 4 breast cancer means

A

Breast cancer with distant metastasis

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20
Q

FNA

A

Fine needle aspiration

21
Q

When performing an US guided biopsy the needle should be positioned

A

Along the long axis of the transducer

22
Q

T2 N1 M0 breast cancer is

A

Medium sized tumor, with lymph nodes, no metastasis

23
Q

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

A

Within the tumor

24
Q

The breast is immobilized with which form of biopsy technique?

A

Stereotactic mammography

25
Q

TRAM

A

Transverse rectus abdominis myocutaneous muscle

26
Q

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

A

ALND

27
Q

TRAM flap surgery is a common procedure for

A

Reconstruction of the breast following mastectomy

28
Q

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

A

Modified radical mastectomy

29
Q

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

A

Human epidermal growth factor receptor 2

30
Q

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

A

Decrease in tumor size and decrease blood flow on Doppler

31
Q

Optimal needle placement during US guided biopsy is

A

Needle within the lesion

32
Q

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

A

Endometrial hyperplasia

33
Q

Breast reconstruction surgeries

A

DIEP flap
TRAM flap
gluteal artery flap

34
Q

T in TNM stands for

A

Tumor size

35
Q

M stands for in TNM

A

Metastasis

36
Q

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

A

Sagittal, with the long axis of the transducer

37
Q

Which helps differentiate birads 3 from birads 4

A

Strain elastography

38
Q

ALND

A

Axillary lymph node dissection

39
Q

Time out prior to biopsy or surgery includes

A

Right pt, right location, right procedure

40
Q

The most common complication of an ALND procedure is

A

Lymphedema

41
Q

Most common form of elastography used in breast imaging

A

Strain elastography

42
Q

E/B ratio

A

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

43
Q

Cancer cells in a good CNB sample appear

A

Firm and white, sink in formaldehyde

44
Q

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

A

Tomosynthesis

45
Q

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

A

Real time imaging

46
Q

Radioactive seed is placed in the breast

A

Brachitherapy

47
Q

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

A

ER+

48
Q

Histology findings

A

Core
Incisional biopsy
Excisional biopsy

49
Q

Types of localization techniques

A

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

Breast US (6 decks)

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