FN: Breast:Other breast disease Stromal tumours and Malignancy Flashcards

1
Q

Fibroadenoma patient

A

.

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2
Q

Fibroadenoma patient

A

.

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3
Q

Fibroadenoma presentation

A

commonest benign tumour
Painless, mobile, rubbery mass
Often multiple and bilateral

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4
Q

Fibroadenoma Rx

A

Reassurance + f/up if 2.5cm

  1. FH of breast Ca
  2. Pt. choice
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5
Q

Phylloides tumour epi

A

50s+

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6
Q

Phylloides tumour presentation

A

Large, fast growing mass
Mobile, non-tender
Epithelial and connective tissue elements

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7
Q

Phylloides tumour Rx

A

WLE

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8
Q

DCIS clinical

A

Presents as microcalcification on mammogram
Rarely associated with symptoms:
1. lump
2. discharge
3. eczematous change = pagets
4. Ca @ 1%/yr (10x increased risk) in ipsilateral breast

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9
Q

DCIS Rx

A

WLE + radiotherapy

Extensive of multifocal - masectomy + reconstruction + reconstruction + SNB

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10
Q

Pagets Clinical

A

Unilateral, scaly, erythematous, itchy +/- palpable mass (invasive carcinoma

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11
Q

Pagets Rx

A

Usually underlying invasive or DCIS breast cancer

Mastectomy + radio ± chemo

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12
Q

LCIS

A

Incidental biopsy finding (no calcification)
Often bilat (20-40%)
Young women
Incerased risk of Ca (x10) in both breasts

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13
Q

LCIS Rx

A

Bilateral prophylactic mastectomy or close watching with mammographic screening

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14
Q

Fibroadenoma presentation

A

commonest benign tumour
Painless, mobile, rubbery mass
Often multiple and bilateral

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15
Q

Fibroadenoma Rx

A

Reassurance + f/up if 2.5cm

  1. FH of breast Ca
  2. Pt. choice
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16
Q

Phylloides tumour epi

A

50s+

17
Q

Phylloides tumour presentation

A

Large, fast growing mass
Mobile, non-tender
Epithelial and connective tissue elements

18
Q

Phylloides tumour Rx

A

WLE

19
Q

DCIS clinical

A

Presents as microcalcification on mammogram
Rarely associated with symptoms:
1. lump
2. discharge
3. eczematous change = pagets
4. Ca @ 1%/yr (10x increased risk) in ipsilateral breast

20
Q

DCIS Rx

A

WLE + radiotherapy

Extensive of multifocal - masectomy + reconstruction + reconstruction + SNB

21
Q

Pagets Clinical

A

Unilateral, scaly, erythematous, itchy +/- palpable mass (invasive carcinoma

22
Q

Pagets Rx

A

Usually underlying invasive or DCIS breast cancer

Mastectomy + radio ± chemo

23
Q

LCIS

A

Incidental biopsy finding (no calcification)
Often bilat (20-40%)
Young women
Incerased risk of Ca (x10) in both breasts

24
Q

LCIS Rx

A

Bilateral prophylactic mastectomy or close watching with mammographic screening