Paulson Breast Flashcards
supernumeraray nipple is usually found __________
along the milk line
Supernumerary nipple may increase in size and _________ during ______+____
darken, pregnancy
gyencomastia occurs in puberty and __________ d/t and increase in _______or decrease in ______________
old age, estrogen, testosterone
Mastodynia occurs _____________ during the __________ and is treated with _______________
with OCP or HRT, cyclical, luteal phase
B6
Most common bug for mastisits
TX
S. Aureus
Diclo or cephalosporin
Breast abscess tx, if refractory think _________
I and D dicloxacillin
inflammatory breast cancer especially with axillary LAD
firm nodule, can occur after breast bx, surgery, radiation can look like carcinoma on imaging
fat necrosis of breast
most common bei condition of the breast
fibrocystic breast changes
M/C age for fibrocycstic breast changes
30-50
fibrocycstic breast changes can be cyclical and are related to __________ changes. Usually bilateral/unilateral
hormonal/estrogen
bilateral
_____________ distiguish fibrocycstic breast changes from carcinoma
multiple lesions
benign tumor of glandular breast tissue
fibroadenoma
second M/C benign issue of the breast
fibroadenoma
Round, ovoid, firm, smooth, rubbery discrete, mobile non-tender
fibroadenoma
fibroadenoma are more common in (populations 2_
black, young
Tx/following of fibroadenoma
core needle biopsy or f/u in 3-6 motnh with repeat US and CBE
galactorrhea has ________ discharge that is usually bi/unilateral
milky white, bilatera
causes of pathologic nipple discharge
duct ecstasia, intraductal papilloma, carcinoma
pathologic nipple d/c is usually uni/bilateral and can be (describe)
uni, bloody, sanguinous, serous, purulent (breast abcess)
MOST commone type of BC
invasive ductal carcinoma
what is the term you are looking for for non invasice
in-situ
DCIS—–>
invasive ductal carcinoma
Paget disease of the breast is never normal…. it can look _______
like ecxema on the nipple
in Pagets, if there is a palpable mass it may be _______ if not palpable it may be __________
invasive ducatal carcinoma, DCIS or noninvasice
how do you deal with paget?
refer for full thickness bx, mastectomy
_________ is usually an incedentical finding. _________=lucky find!
LCIS, lobular
M/C area for BC to appear
upper outer quadrant
s/sx of invasive carcinoma
firm, fixed nonpainful nodule
dimpling skin
nipple retraction/d/c
skin thickening (peau d’orange)
supra, infraclav lymph nodes
Mammogram starts at age _________ and is every _______
40, yearly
mammo: can swap to bianual at ______
50-70 if in good healtjh
60-70 are the years mammos save lives!
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
Tx for BC:
stage first
lumpectomy + sentinal node bx
mastectomy
radiation
chemo or HRT
F/U for BC:
frst 2 years every 6 months with mammo, then anually
Most commobn recurrance timeframe for BC
2-5 years
BC in men presenation
painless lump beneath areola in men 50+,
+/- discharge, retraction or ulceration
BRCA ____ is most common in men
2
