Oncology

Question 1

Hard, immobile, fixed to chest wall, painless, nipple retraction, nipple discharge, skin changes

Answer 1

Think Breast cancer

Question 2

Best initial test for breast cancer

Answer 2

FNA

Question 3

best test for receptor status for breast cancer

Answer 3

Core Needle biopsy

Question 4

Most accurate test for breast cancer

Answer 4

open surgical biopsy

Question 5

When do you start with mammo?

Answer 5

50 years old

Question 6

When do you U/S breast tissues

Answer 6

cyst or solid?

young female, painful, varies in size or pain with menstruation

Question 7

Breast cancer possibly when do I PET scan?

Answer 7

when you can’t biopsy and have a large lymph node

Question 8

BRCA means?

Answer 8

increased risk of breast cancer

also assoc. with ovarian cancer

Question 9

Sentinel lymph node biopsy

Answer 9

to see if it has spread

Question 10

Estrogen and progesterone receptors are tested when

Answer 10

you want to see how to direct hormone therapy

Question 11

Surgical options of breast cancer?

Answer 11

lumpectomy
modified radical mastectomy
Radical mastectomy

Question 12

Tamoxifen is a ?

Answer 12

estrogen antagonist of the breast agonist in the endometrium.
it rarely gives endometrial cancer and clots

Question 13

Aromatase inhibitors

Answer 13

anastrazole, letrozole, exemestane

most likely to benefit the patient but it inhibits estrogen effect everywhere causing osteoporosis

Question 14

Trastuzumab is given when?

Answer 14

HER2/neu receptor is positive.

Question 15

Neoadjuvant

Answer 15

treat before surgery. decrease cancer burden

Question 16

Adjuvant therapy

Answer 16

clean up presumed microscopic cancer cells

Question 17

tamoxifen + no breast cancer?

Answer 17

lowers cancer risk given when lots of first degree relatives have breast cancer