Normal and Abnormal Breast Flashcards
Which hormone is responsible for growth of adipose tissue and lactiferous ducts
E
Which hormone is responsible for stimulation of lobular growth and alveolar budding
P
How much sooner can mammography detect lesions compared to humans
2 years
At what age does mammography become most beneficial
> 40 yo
What modality is most useful in looking at breast tissue in women < 40 yo
US
If you are wanting to differentiate between a cystic and solid mass, which modality is best
US
In what situations is an MRI most useful
Post-cancer for further evaluation
Implants
Women with BRCA gene
If you perform an FNA and the cyst reappears or doesn’t resolve, what is the next step
Mammogram/US and biopsy
What are the ACOG screening guidelines for mammograms
Women > 40 yo annually
What are the ACOG screening guidelines for clinical breast exams
Women 20-39 yo q 1-3 years
Women > 40 yo annually
What is the Tx for mastalgia
Danazol
Behavioral changes
What are the SE’s of Danazol
Menstrual irregularities Intracranial HTN Deepens voice Hair growth Weight gain
What is the most common benign tumor found in the female breast
Fibroadenoma
Sx’s = solid, rubbery, mobile, and solitary mass in teen/early 20’s
Fibroadenoma
What are the two types of Non-proliferative BC
Fibroadenoma
Galactocele
What are the two types of Proliferative BC without atypia
Sclerosing lesions
Papillomas
Sx’s = serous or serosanguinous discharge in women 30-50 yo
Papilloma
Which category of BC can’t typically be palpated
Proliferative without atypia
What are the two types of proliferative BC with atypia
LCIS
DCIS
Which proliferative BC with atypia is not a precursor for BC
LCIS
Which type of BC is the most common among women in their 50’s
Ductal BC
After BC Tx, in what time frame do most recurrences happen
First 5 years
