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Endo/Repro: Week 6 > Onello: Breast Diseases > Flashcards

Onello: Breast Diseases Flashcards

1
Q

milk line

A

accessory nipples develop along here

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2
Q

polymastia

A

extra breast

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3
Q

polythelia

A

multiple nipples

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4
Q

amastia

A

abscence of breat nipple and possibly pectoralis

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5
Q

thelarche

A

breast development

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6
Q

age of thelarche

A

AA 12.1

caucasians-12.6

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7
Q

MC of gynecomastia in boys

A

NORMAL development d/t hormonal changes

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8
Q

no pubic hair

A

I

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9
Q

straight hair extending between labia

A

II

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10
Q

pubic hair increased in quantitiy, darker, typical female triangle

A

III

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11
Q

pubic hair more dense, curled, adult distribution

A

IV

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12
Q

abundant, adult pattern hair that can extend onto medial aspect of thigh

A

V

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13
Q

who breastfeeds more?

A

wealthier
more educated
caucasian
non smoker

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14
Q

how long should you breast feed

A

exclusive for 6 mos

continue for 1 year

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15
Q

why do many women stop breast feeding

A

insufficient milk supply

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16
Q

key cultural pt about breastfeeding

A

breastfeeding is a social behavior–we fail/learn how to breastfeed from those around us

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17
Q

common problems encountered during breastfeeding

A

does NOT fit western lifestyle
hard time feeding after maternity leave
not EASY thing

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18
Q

environmental contaminants in human breast milk

A

foods- chemicals
hygiene- lotion
pesticides/herbicides

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19
Q

pharmacologic contaminants in breast milk

A

OTC

prescription

20
Q

key questions to ask during a breast exam

A 
duration
change over time
relationship to menses- PERIODS STARTING EARLY, MENSES ENDING LATE
nipple discharge
presence of pain
family hx- BRCA1, MATERNAL
gyne-endo hx- NULLIPAROUS, 1ST CHILD AFTER 30, RADIATION EXPOSURE
previous cyst aspirations
hx of atypical breast hyperplasia
21
Q

increases risk of breast cancer

A

nullparious

OR

if 1st child born after 30, radiation

22
Q

clinical breast exam

A 
inspect breasts seated and supine
skin changes
palpate entire area of breast
nipple discharge
supraclavicular/axillary lymph areas
cofirm a palpable mass?
be aware of normal structures that "mimic"
23
Q

ideal time in pre-meopausal to do a breast exam

A

1st week post menses

24
Q

MASS:
smooth
mobile
well demarcated

A

Reassuring

**cancer usually DOESN’T HURT

25
Q 
Mass:
firm
ill defined margins
irregular
fixed
A

worrisome

26
Q

does breast cancer hurt?

A

not usually

27
Q

lump/contour change–> cancer pulls the breast
skin tethering
nipple inversion
ulceration
nipple SCALING> Paget disease of the breast
edema/peau d/orange

A

Worrisome findings on a breast exam

28
Q

do we recommend self breast exams?

A

Not recommended

29
Q

peau d orange is usually a sign of

A

inflammatory breast cancer

30
Q

most common complaints (pain, nipple discharge, skin changes, bresat lumpts) are…

A

BENIGN

31
Q

BENIGN
freely moving and painless*
hyperplastic process of a single duct
10% disappear spontaneously

A

fibroadenoma

32
Q

why does cystosarcoma phylloides need histological differentiation

A

25% are malignant

33
Q

common infection caused by staph/strep
often requires I and D
and Abx

A

abscess

34
Q

what do you do w/ a breast cyst

A

aspirate> release fluid

often curative

35
Q

trauma may cause peripheral calcifications in the breast

how shoiuld you tx?
what should you consider?

A

watchfull waiting unless infected

physical abuse?

36
Q

lumpy bumpy breasts
discrete masses
usually bilateral
increase in size/tenderness prior to menses

A

fibrocystic changes

37
Q

thick, grey, black discharge

A

mammary duct ectasia

38
Q

wart like growth in lining of mammary duct near nipple
+
Serous+/- BLOODY discharge
in 45-50 year old

A

intra-ductal papilloma

surgically remove it

39
Q

should be done for any PALPABLE LESIONS

A

FNA
core needle bx
excisional bx

40
Q

suspicious masses on imaging that should be biopsied

A
  1. needle localization

2. stereotactic bx

41
Q

is a breast exam alone sufficient to reliably make a final dx when a breast mass is detected?

A

NO!

42
Q

how should women <30 be evlauated

A

NOT mammograms

use US

43
Q

1st line after breast exam?

A

mammography

44
Q

when should you do mammogram?

A

controversial

after 50 annually

45
Q

should you do a mammo in a pt w/ implants?

A

you bet

46
Q

do most women w/ breast cancer have RFs?

A

NO

3/4 dont!

**possibly related to lifetime estrogen exposure

47
Q

RF for bresat cacaner?

A 
DCIS/LCIS
age
YOUNGER menarche
first live birth AFTER 30
relatives w/ BC
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Endo/Repro: Week 6 (8 decks)

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