Paulson Breast Flashcards

1
Q

supernumeraray nipple is usually found __________

A

along the milk line

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2
Q

Supernumerary nipple may increase in size and _________ during ______+____

A

darken, pregnancy

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3
Q

gyencomastia occurs in puberty and __________ d/t and increase in _______or decrease in ______________

A

old age, estrogen, testosterone

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4
Q

Mastodynia occurs _____________ during the __________ and is treated with _______________

A

with OCP or HRT, cyclical, luteal phase
B6

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5
Q

Most common bug for mastisits
TX

A

S. Aureus
Diclo or cephalosporin

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6
Q

Breast abscess tx, if refractory think _________

A

I and D dicloxacillin
inflammatory breast cancer especially with axillary LAD

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7
Q

firm nodule, can occur after breast bx, surgery, radiation can look like carcinoma on imaging

A

fat necrosis of breast

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8
Q

most common bei condition of the breast

A

fibrocystic breast changes

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9
Q

M/C age for fibrocycstic breast changes

A

30-50

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10
Q

fibrocycstic breast changes can be cyclical and are related to __________ changes. Usually bilateral/unilateral

A

hormonal/estrogen
bilateral

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11
Q

_____________ distiguish fibrocycstic breast changes from carcinoma

A

multiple lesions

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12
Q

benign tumor of glandular breast tissue

A

fibroadenoma

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13
Q

second M/C benign issue of the breast

A

fibroadenoma

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14
Q

Round, ovoid, firm, smooth, rubbery discrete, mobile non-tender

A

fibroadenoma

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15
Q

fibroadenoma are more common in (populations 2_

A

black, young

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16
Q

Tx/following of fibroadenoma

A

core needle biopsy or f/u in 3-6 motnh with repeat US and CBE

17
Q

galactorrhea has ________ discharge that is usually bi/unilateral

A

milky white, bilatera

18
Q

causes of pathologic nipple discharge

A

duct ecstasia, intraductal papilloma, carcinoma

19
Q

pathologic nipple d/c is usually uni/bilateral and can be (describe)

A

uni, bloody, sanguinous, serous, purulent (breast abcess)

20
Q

MOST commone type of BC

A

invasive ductal carcinoma

21
Q

what is the term you are looking for for non invasice

22
Q

DCIS—–>

A

invasive ductal carcinoma

23
Q

Paget disease of the breast is never normal…. it can look _______

A

like ecxema on the nipple

24
Q

in Pagets, if there is a palpable mass it may be _______ if not palpable it may be __________

A

invasive ducatal carcinoma, DCIS or noninvasice

25
how do you deal with paget?
refer for full thickness bx, mastectomy
26
_________ is usually an incedentical finding. _________=lucky find!
LCIS, lobular
27
M/C area for BC to appear
upper outer quadrant
28
s/sx of invasive carcinoma
firm, fixed nonpainful nodule dimpling skin nipple retraction/d/c skin thickening (peau d'orange) supra, infraclav lymph nodes
29
Mammogram starts at age _________ and is every _______
40, yearly
30
mammo: can swap to bianual at ______
50-70 if in good healtjh
31
60-70 are the years mammos save lives!
32
For high risk women the recommendation is _________ in addition to a mammogram at age ________
MRI, 30 BRCA mutation or 1st degree relative with bRCA mutation prior radiation ot chest great than 15-20% risk tool
33
Tx for BC:
stage first lumpectomy + sentinal node bx mastectomy radiation chemo or HRT
34
F/U for BC:
frst 2 years every 6 months with mammo, then anually
35
Most commobn recurrance timeframe for BC
2-5 years
36
BC in men presenation
painless lump beneath areola in men 50+, +/- discharge, retraction or ulceration
37
BRCA ____ is most common in men
2