Guest Speaker for breast cancer

Question 1

give 4 cancerous characteristics of a lump for breast cancer

Answer 1

single
hard
non-mobile
irregular border

Question 2

when should annual mammo start?

Answer 2

@ 40 y/o

Question 3

Describe what makes a pt considered high risk for breast Ca?

Answer 3

1st degree relative w/ breast cancer

- in this case screen 10 years younger then dx

Question 4

give me 5 Rf for Breast cancer

Answer 4

previous radiation , obesity, lots of alcohol, immunosuppressive therapy, HRT, early onset of mensis

Question 5

what will a pt w/ dense breast tissue receive via mail?

Answer 5

oregon letter?

Question 6

What type of breast discharge is benign and what type is worrisome?

Answer 6

benign - bluish/green

worry! - clear and bloody

Question 7

Does a normal mammo r/o breast ca?

Answer 7

naw yo

Question 8

When would you use stereotactic biopsy ?

Answer 8

if there are microcalfications found on Ultrasound ( folliwing a mammo)

Question 9

whats the next best intervention for a pt w/ a palpable mass?

Answer 9

Ultrasound

Question 10

next best intervention for a solid lesion?

Answer 10

biopsy

Question 11

greater than how man cm or mm should automatically receive a needle?

Answer 11

2 cm yo

Question 12

What is a phyllodes tumor?

Answer 12

benign and aggressively behaving tumor

tx: excise and local surveillance

Question 13

what is the treatment for a breast abscess that is subareolar

Answer 13

flagella with raised suspicion of anaerobe infection

Question 14

what is general breast abscess tx?

Answer 14

drainage and abx therapy

Question 15

how is Pagets disease treated?

Answer 15

mastectomy

Question 16

what exactly is paget’s disease?

Answer 16

Paget disease of the breast is a rare type of cancer involving the skin of the nipple and, usually, the darker circle of skin around it, which is called the areola. Most people with Paget disease of the breast also have one or more tumors inside the same breast. These breast tumors are either ductal carcinoma in situ or invasive breast cancer (1–3).

Paget disease of the breast is named after the 19th century British doctor Sir James Paget, who, in 1874, noted a relationship between changes in the nipple and breast cancer. (Several other diseases are named after Sir James Paget, including Paget disease of bone and extramammary Paget disease, which includes Paget disease of the vulva and Paget disease of the penis. These other diseases are not related to Paget disease of the breast. This fact sheet discusses only Paget disease of the breast.)

Question 17

peau d’ orange is assoc. w/ what type of breast skin involvement category?

Answer 17

inflammatory

Question 18

any idea whaT HER2 is?

Answer 18

its an epidermal growth factor receptor

Question 19

what is Herceptin used for?

Answer 19

its a monoclonal antibody used for breast cancer

Question 20

if a patient has a low mamma print molecular profile how would you treat them?

Answer 20

no chemo

Question 21

if a patient has a low mamma print molecular profile how would you treat them?

Answer 21

these patients will benefit from chemotherapy

Question 22

describe when is best to use a lumpectomy

Answer 22

smaller lesions, and use adjuvant radiation

Question 23

describe when is best to use mastectomy

Answer 23

multifocal disease, young age, + FH, no radiation

Question 24

What are the 2 subtypes of radiation?

Answer 24

external beam and brachytherapy

Question 25

when is best to used brachytherapy radiation?

Answer 25

older age, smaller lesions, node negative

Question 26

what is breast cancer staging based off of?

Answer 26

Tumor size
- < 2cm = stage 1
-2-5 cm = 2
> 5cm = stage 3 
Node Involvment
-# nodes and location 
Metastasis
   Stage 4 
   Skin involvement

Question 27

How closely do you want to monitor a pt post-lumpectomy? how often etc?

Answer 27

q 6 months for 2 years and consider additional imaging

Question 28

how closely do you want to follow a pt post mastectomy?

Answer 28

no regular imaging, just a chest wall exam

Question 29

list off some post-operative complications of breast surgeries

Answer 29

infections ( usually from staph) treated w/ cephalexin and clindamycin

seroma - tx w/ manual drainage and insert an drain if needed

Question 30

the speaker listed off some meds at the end of her lecture to help with system complications remember any?

Answer 30

tamoxifen

• aromotase inhibitors
• chemothrapy

Question 31

a mass is _________ until proven otherwise

Answer 31

cancerous!!

Question 32

do most women die from breast cancer?

Answer 32

no