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SMLE > Surgery > Flashcards

Surgery Flashcards

1
Q

sudden increasing tumor in breast

A

phylloid tumor;; Compared to phyllodes tumors, fibroadenomas tend to be smaller in size, remain the same size or grow slowly, and usually occur in younger (20–30 years) wome

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2
Q

after core needle biopsy, what should you do for phylloid tumour

A

CT thorax met contrast gezien het risico op metastase

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3
Q

what is the most important behandeling van phylloid tumour

A

wide local excision if it is benign, simple mastectomy if it is malignent

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4
Q

cystosarcoma phylloodes is

A

a benign tumor the treatment of which is wide local excision

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5
Q

for a a large phyolodes tumour that is constantly growing in size, the treatment

A

simple mastectomy

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6
Q

fibroadenomas

A
  • most common benign tumor in the breast
  • hormonal relathship persist during reproductive years and can increae in size during pregnancy or with estrogen therapy and usually regress after menopause
  • common tussen 15-35 jaar oud
  • management: core biopsy or FU with ultrasound and breast examination
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7
Q

mass on the breast that is mobile

A

fibroadenoma, not painful, no relation to menses

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8
Q

fibrocyst

A

has relation to menseses

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9
Q

fibrocyst

A

completely disappears with aspiration

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10
Q
A

repeat after 2 cycls

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11
Q

BIRADS

A
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12
Q

management BIRADS

A
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13
Q

management BIRADS 3-5

A
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14
Q

complication mastectomy

A
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15
Q

ductal hyperplasia management

A

wide surgical excision

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16
Q

breast abcess

A

Breast pain, erythema, and edema
Purulent discharge from the nipple of the affected breast
Fluctuant mass on palpation
Possibly overlying skin necrosis
Fever
Nausea

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17
Q

breast abcess management

A

incision and drainage

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18
Q

acute mastitis organism

A

a staph aureus up to 10% of nursing mothers (particularly 2–3 weeks postpartum).tender, firm, swollen, erythematous breast (generally unilateral)
malaise, fever, and chills
Pain during breastfeeding

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19
Q

acute mastitis vs breast abcess

A
20
Q

bloody nipple discharge

A

intraductal papilloma, red discharge

21
Q

bloody nipple discharge management

A

< 35 jaar oud dan ultrasound, >35, dan mammografie;; excisional biopsy (ae duct excision) o fthe lesion and involved duct is the treatment of chices

22
Q

mammary duct ectasia

A

Unilateral or bilateral nonmilky gray, greenish, or bloody discharge
Nipple inversion
Firm, tender subareolar mass may be presentMammary duct ectasia is the most common cause of greenish nipple discharge.

23
Q

mammary duct ectasia managemetn

A

ultrasound, gaat vaak spontaan weg, soms surgincal excision nodig

24
Q

screening 55 jaar oud breast kancer

A
25
Q
A
26
Q
A
27
Q

core needle biopsy vs exiscional biopsy

A
28
Q
A

d

29
Q
A

B because ultrasound is more safe

30
Q
A

D, multiple small non tender around the areol

31
Q
A
32
Q

best imaging modality to visualize the cystic breast masses

A

ultrasound

33
Q

most important immunoglobulin in breast milk

A

igA

34
Q
A
35
Q

most common cause of urinary tract obstruction

A

bening prostatic hyperplasia

36
Q

bening prostatic hyperplasia medicatie

A
37
Q

core biopsy vr core needle biopsy

A
38
Q

how to stae high rade sarcoma

A

ct thorax NOT bonescan NOT mri abdoman

39
Q

liposarcoma

A

most commonly develop in extremities and retroperitoneum

40
Q
A
41
Q
A

b

42
Q

first onderzoek bij Nephrolithiasis

A

CT abdoman zonder contrast , bij zwangeren echo;m CT abdomen and pelvis without contrast and ultrasound of the abdomen and pelvis are the preferred diagnostic tests for nephrolithiasis in patients for whom imaging is indicated.

43
Q

when should you go for bariatric surgery

A
44
Q
A
45
Q
A
46
Q
A

SMLE (3 decks)

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