Exam 2 breast cancer Flashcards

1
Q

What is the lifetime risk for women and breast cancer?

A

1 in 8 women get breast cancer

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2
Q

what are the top two killers for women?

A
  1. Lung 2. Breast
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3
Q

At what age do women usually develop breast cancer

A

Age 50 and above

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4
Q

What are risk factors for women?

A

Age (50+), gender, Race (more common for whites, Blacks more deadly), Prior history of breast cancer, Familial history of 1st degree relative, prolonged/uninterrupted exposure to estrogen (Early menarche 52)

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5
Q

What are the two genes, that when mutated, that put a person at higher genetic risk for breast and ovarian cancer?

A

BRCA1 (65% risk of BC), BRCA2 (45% risk)

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6
Q

What model assesses a person risk for developing breast cancer?

A

Gail Model

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7
Q

When should mammographies begin?

A

Age 50

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8
Q

How often should mammographies be done between 50-74

A

2 years

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9
Q

How often should mammographies be done under 50?

A

individual decision based on patient context

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10
Q

Why shouldn’t women do self breast exams?

A

Oftentimes it will resolve itself, it usually isn’t cancer

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11
Q

How do the AAFP and USPSTF guidelines differ?

A

AAFP usually is pretty similar to USPSTF

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12
Q

How does ACS and USPSTF differ?

A
  1. ACS says 40-44 women can start annual mammograms 2. Start yearly mammograms 45-54. 3. Over 55 every 2 years
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13
Q

How often should women ages 20-39 get a clinical breast exam?

A

every 3 years

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14
Q

How often clinical breast exam for 40+?

A

Annually

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15
Q

Is breast pain (Mastalgia) a risk factor of breast cancer?

A

No

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16
Q

Is nipple discharge a risk factor for cancer?

A

Benign in 97% of the cases

17
Q

What are characteristics of benign breast masses?

A

Discrete margins, no skin changes, smooth, soft to firm and MOBILE

18
Q

What are characteristics of metastatic breast masses?

A

Hard, immobile, fixed to surrounding tissue, poorly defined margins