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CORE > Mamms > Flashcards

Mamms Flashcards

1
Q

Is nipple enhancement on contrast MRI normal?

A

Yes

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2
Q

What rib space does the nipple usually overlie?

A

4th

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3
Q

What is the axillary extension of the breast tissue called?

A

Tail of spence

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4
Q

Where do breast cancers most commonly start? Quadrent?

A

Upper Outter

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5
Q

What hold the breast up

A

Coopers Ligiments

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6
Q

Asymmetric breast should bring up what pathology?

A

Invasive Lobular breast CA

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7
Q

Dilated portion of the “Major duct” is called what?

A

Lactiferous sinus

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8
Q

60% of the blood flow to the breast is from where?

A

Internal Mammary

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9
Q

97% of lymph drains where? (From the breast)

A

Axilla

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10
Q

Axillary Lymph nodes (Level 1, Level 2, Level 3, Rotter) are located where? (Mamms)

A 
Direction of flow 1 , 2, 3. 
1: Lateral to Pec Minor
2: Under Pec Minor
3: Medial and superior to pec minor
Rotter: Between Pec minor and major
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11
Q

Mets to the internal mammary nodes from breast CA usually from CA located where?

A

Medial Breast. Very bad.

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12
Q

Sternalis is seen where and on which view? Usually unilateral or bilateral?

A

Only on CC next to the sternum. Unilateral

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13
Q

Most common location of ectopic breast tissue

A

Axilla

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14
Q

Second most common location for ectopic breast tissue

A

Inframammary fold

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15
Q

Ductal elongation and proliferation is from what hormone?

A

Estrogen

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16
Q

Lobule proliferation is from what hormone?

A

Progesterone

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17
Q

Best time to have Mammo (relative to phase of cycle?)

A

Follicular phase 7-14 days

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18
Q

Beast time to have breast MRI? (relative to phase of cycle?)

A

Follicular phase 7-14 days

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19
Q

Most cancers start in the breast in what structure?

A

TDLU

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20
Q

When is breast tenderness maxed in the cycle?

A

27-30 day

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21
Q

Peak time (in years) for breast pain and cyst formation?

A

Perimenopause (50s)

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22
Q

What will happen to fibroadenomas in menopause?

A

Will degerate with popcorn calcifications

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23
Q

Secretory calcifications will develop when?

A

10-20 years post menopause (Rod Like)

24
Q

When is breast density the most in pregnancy?

A

Third Trimester

25
Q

What can increase breast density bilaterally besides pregnancy?

A

Prolactinoma or medications (antipsychotics)

26
Q

Can you biopsy a lactating breast?

A

Yes but may cause milk fistula

27
Q

What is aunt minnie look for a galactocele?

A

Fat fluid level

28
Q

What can happen to fibroadenomas with a patient on ERT

A

They can grow, FAs love to drink estrogen

29
Q

Describe the look of lactating adenoma

A

Like Fibroadenomas. Usually Multiple. 4-6 post partum follow up. Usually regress after cessation of lactation.

30
Q

How often do you have to do processor quality contorl?

A

Daily

31
Q

How often do you have to do phantom images?

A

weekly

32
Q

How often do you have to do screen film contact?

A

semiannually

33
Q

How often do you have to do the visual checklist?

A

Monthly

34
Q

What is the size for stage I breast cancer?

A

< 2 cm

35
Q

What is the size for Stage IIa

A

<5 cm but > 2cm with no nodes

36
Q

What is the size for Stage IIb

A

<5 but >2cm with mets to ipsilater nodes OR >5 with no nodes

37
Q

What is papillary carcinoma’s appearance on ultrasound?

A

Complex cystic mass

38
Q

When do you need to use an LMO view?

A

Pectus, Kyphosis or to avoid a medial pacemaker lead

39
Q

How can you describe a shape of a mass on mammography?

A

Round, oval, irregular

40
Q

How can you describe the margin of a mass on mammo?

A

Circumscribed, obscured, microlobulated, indistinct, spiculated (COMIS)

41
Q

How can you describe density of a mass on mammo?

A

fat, hypo, iso, or hyper

42
Q

What is a mammo asymmetry?

A

Only seen in 1 view

43
Q

What is a mammo global asymmetry?

A

greater volume of breast tissue

44
Q

what is a mammo focal asymmetry?

A

two projections

45
Q

What is a mammo developing asymmetry?

A

Wasn’t there before

46
Q

How do you describe the margin of a mass on ultrasound for mamms?

A

Circumscribed, indistinct, angular, microlobulated, spiculated

47
Q

What is the “foci” size for mamms MR?

A

< 5mm

48
Q

What is the mass size for mamms MR?

A

> 5mm

49
Q

How can you describe the margin on mamms mr?

A

circumscribed, irregular, spiculated

50
Q

What are internal enhancement patterns for mamms mr?

A

homogenous, heterogenous, rim and dark internal septation

51
Q

How can you describe the distribution of NMLE in mamms?

A

Focal, linear, linear branching, segmental, regional, multiple regional, diffuse

52
Q

How can you describe the internal enhancement for NMLE?

A

Homogenous, heterogenous, stippled, clumped, clustered ring

53
Q

DDX for amorphous ca on mamms

A

Fibrocystic change (most likely)
sclerosing adenosis
columnar cell change
DCIS

54
Q

DDX for course heterogenous calcs on mamms

A

Fibroadenoma
Papilloma
fibrocystic change
DICS

55
Q

DDX for fine pleomorphic calcifications

A 
DCIS
(Rest less likely)
fibrocystic change
fibroademoma
papilpoma

CORE (14 decks)

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