Normal and Abnormal Breast Exam (Wootton)

Question 1

What is able to detect lesions about two years before they become palpable.

They are best used in women of what age?

Answer 1

1) Mammography

2) 40 years and older

Question 2

Ultrasonography is useful in evaluating inconclusive mammogram findings and are best used in women of what age?

It allows differentiation between what lesions?

Answer 2

1) Younger than 40

2) Cystic vs solid lesions

Question 3

MRI is a useful adjunct to diagnostic mammography in suspicious masses and should be used in women at high risk for breast cancer like?

Answer 3

BRCA carriers

Question 4

Fine Needle Aspiration Biopsy with a 22-24 gauge needle is useful in determining ____ vs ____ mass.

Answer 4

Solid versus cystic

Question 5

With Fine Needle Aspiration Biopsy what type of fluid needs to be sent for cytology and patients needs a diagnostic mammogram/ultrasound?

Answer 5

Bloody fluid

Question 6

If cyst reappears or does not resolve with aspiration what should be done?

Answer 6

1) Mammogram/ultrasound

2) Perform biopsy

Question 7

What biopsy uses a large needle (14-16 gauge) to get tissue from larger solid masses?

Answer 7

Core Needle Biopsy

Question 8

Explain the steps of evaluation of breast signs/symptoms

Answer 8

1. PE: evaluate both breasts, complete exam including axilla and chest wall
2. Diagnostic tests- mammogram, US, MRI, FNA, core biopsy

Palpable mass always gets a biopsy