Exam 2 breast cancer Flashcards
What is the lifetime risk for women and breast cancer?
1 in 8 women get breast cancer
what are the top two killers for women?
- Lung 2. Breast
At what age do women usually develop breast cancer
Age 50 and above
What are risk factors for women?
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)
What are the two genes, that when mutated, that put a person at higher genetic risk for breast and ovarian cancer?
BRCA1 (65% risk of BC), BRCA2 (45% risk)
What model assesses a person risk for developing breast cancer?
Gail Model
When should mammographies begin?
Age 50
How often should mammographies be done between 50-74
2 years
How often should mammographies be done under 50?
individual decision based on patient context
Why shouldn’t women do self breast exams?
Oftentimes it will resolve itself, it usually isn’t cancer
How do the AAFP and USPSTF guidelines differ?
AAFP usually is pretty similar to USPSTF
How does ACS and USPSTF differ?
- ACS says 40-44 women can start annual mammograms 2. Start yearly mammograms 45-54. 3. Over 55 every 2 years
How often should women ages 20-39 get a clinical breast exam?
every 3 years
How often clinical breast exam for 40+?
Annually
Is breast pain (Mastalgia) a risk factor of breast cancer?
No