Paulson Breast

Question 1

supernumeraray nipple is usually found __________

Answer 1

along the milk line

Question 2

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

Answer 2

darken, pregnancy

Question 3

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

Answer 3

old age, estrogen, testosterone

Question 4

Mastodynia occurs _____________ during the __________ and is treated with _______________

Answer 4

with OCP or HRT, cyclical, luteal phase
B6

Question 5

Most common bug for mastisits
TX

Answer 5

S. Aureus
Diclo or cephalosporin

Question 6

Breast abscess tx, if refractory think _________

Answer 6

I and D dicloxacillin
inflammatory breast cancer especially with axillary LAD

Question 7

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

Answer 7

fat necrosis of breast

Question 8

most common bei condition of the breast

Answer 8

fibrocystic breast changes

Question 9

M/C age for fibrocycstic breast changes

Answer 9

30-50

Question 10

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

Answer 10

hormonal/estrogen
bilateral

Question 11

_____________ distiguish fibrocycstic breast changes from carcinoma

Answer 11

multiple lesions

Question 12

benign tumor of glandular breast tissue

Answer 12

fibroadenoma

Question 13

second M/C benign issue of the breast

Answer 13

fibroadenoma

Question 14

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

Answer 14

fibroadenoma

Question 15

fibroadenoma are more common in (populations 2_

Answer 15

black, young

Question 16

Tx/following of fibroadenoma

Answer 16

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

Question 17

galactorrhea has ________ discharge that is usually bi/unilateral

Answer 17

milky white, bilatera

Question 18

causes of pathologic nipple discharge

Answer 18

duct ecstasia, intraductal papilloma, carcinoma

Question 19

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

Answer 19

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

Question 20

MOST commone type of BC

Answer 20

invasive ductal carcinoma

Question 21

what is the term you are looking for for non invasice

Answer 21

in-situ

Question 22

DCIS—–>

Answer 22

invasive ductal carcinoma

Question 23

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

Answer 23

like ecxema on the nipple

Question 24

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

Answer 24

invasive ducatal carcinoma, DCIS or noninvasice

Question 25

how do you deal with paget?

Answer 25

refer for full thickness bx, mastectomy

Question 26

_________ is usually an incedentical finding. _________=lucky find!

Answer 26

LCIS, lobular

Question 27

M/C area for BC to appear

Answer 27

upper outer quadrant

Question 28

s/sx of invasive carcinoma

Answer 28

firm, fixed nonpainful nodule
dimpling skin
nipple retraction/d/c
skin thickening (peau d’orange)
supra, infraclav lymph nodes

Question 29

Mammogram starts at age _________ and is every _______

Answer 29

40, yearly

Question 30

mammo: can swap to bianual at ______

Answer 30

50-70 if in good healtjh

Question 31

60-70 are the years mammos save lives!

Question 32

For high risk women the recommendation is _________ in addition to a mammogram at age ________

Answer 32

MRI, 30
BRCA mutation or 1st degree relative with bRCA mutation
prior radiation ot chest
great than 15-20% risk tool

Question 33

Tx for BC:

Answer 33

stage first
lumpectomy + sentinal node bx
mastectomy
radiation
chemo or HRT

Question 34

F/U for BC:

Answer 34

frst 2 years every 6 months with mammo, then anually

Question 35

Most commobn recurrance timeframe for BC

Answer 35

2-5 years

Question 36

BC in men presenation

Answer 36

painless lump beneath areola in men 50+,
+/- discharge, retraction or ulceration

Question 37

BRCA ____ is most common in men

Answer 37

2