Guest Speaker for breast cancer Flashcards
give 4 cancerous characteristics of a lump for breast cancer
single
hard
non-mobile
irregular border
when should annual mammo start?
@ 40 y/o
Describe what makes a pt considered high risk for breast Ca?
1st degree relative w/ breast cancer
- in this case screen 10 years younger then dx
give me 5 Rf for Breast cancer
previous radiation , obesity, lots of alcohol, immunosuppressive therapy, HRT, early onset of mensis
what will a pt w/ dense breast tissue receive via mail?
oregon letter?
What type of breast discharge is benign and what type is worrisome?
benign - bluish/green
worry! - clear and bloody
Does a normal mammo r/o breast ca?
naw yo
When would you use stereotactic biopsy ?
if there are microcalfications found on Ultrasound ( folliwing a mammo)
whats the next best intervention for a pt w/ a palpable mass?
Ultrasound
next best intervention for a solid lesion?
biopsy
greater than how man cm or mm should automatically receive a needle?
2 cm yo
What is a phyllodes tumor?
benign and aggressively behaving tumor
tx: excise and local surveillance
what is the treatment for a breast abscess that is subareolar
flagella with raised suspicion of anaerobe infection
what is general breast abscess tx?
drainage and abx therapy
how is Pagets disease treated?
mastectomy
what exactly is paget’s disease?
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.)
peau d’ orange is assoc. w/ what type of breast skin involvement category?
inflammatory
any idea whaT HER2 is?
its an epidermal growth factor receptor
what is Herceptin used for?
its a monoclonal antibody used for breast cancer
if a patient has a low mamma print molecular profile how would you treat them?
no chemo
if a patient has a low mamma print molecular profile how would you treat them?
these patients will benefit from chemotherapy
describe when is best to use a lumpectomy
smaller lesions, and use adjuvant radiation
describe when is best to use mastectomy
multifocal disease, young age, + FH, no radiation
What are the 2 subtypes of radiation?
external beam and brachytherapy
