Oncology ABC

Question 1

Breast Lump ddx

Answer 1

lactating adenoma 
galactocele
fibroadenoma
lobular hyperplasia
cystic disease
malignant- infiltrating ductal adenocarcinoma, ductal, lobular

Question 2

Breast cancer treatment options

Answer 2

1st- surgery, radiation
2nd- surgery, radiation, chemo
3rd- surgery, chemo

Question 3

when to start/restart treatment after delivery for cancer

Answer 3

2 weeks

Question 4

chemo regimen for breast cancer

Answer 4

cyclophosphomide
doxorubicin
+/- 5FU

watch AFI

Question 5

General prognosis for breast cancer, pregnant/non-pregnant

Answer 5

similar to outside of pregnancy

Question 6

timing of delivery in regards to chemo

Answer 6

3 weeks after last treatment

Question 7

pregnancy risks with chemo in pregnancy

Answer 7

miscarriage
fetal hematologic supression 
fgr
oligohydramnios
premature delivery 
anomalies ( first trimester)

Question 8

Risk factors with radiation in pregnancy

Answer 8

1st tri miscarriage
congenital anomalies (eye, skeletal, genetalia)
congnitive delay
microcephaly

Question 9

staging for Breast cancer

Answer 9

MRI
Liver ultrasound
CXR

Question 10

how long after cancer treatment should you wait to become pregnant

Answer 10

at least 6 months, 2 years is preferable to minimize recurrance during pregnancy

Question 11

herceptin in pregnancy - treatment for breast cancer

Answer 11

antibody againt HER-2.

Her-2 is important for fetal neural, cardic, and renal development

there have been healthy babies