WCS 076 Breast

Question 1

Investigation for breast mass

Answer 1

triple assessment

• physical exam
• radiological
• pathological

Question 2

risk factors for breast cancer

Answer 2

familial risk
- first/ second degree young dx

hormonal risk (ER +ve)

• early menarche, late menopause (proloned exposure)
• gestational history
• breast feeding history
• OC pills
• hormonal replacement therapy

Question 3

breast ca surgical treatment options

Answer 3

2x2 combo of breast and axillary surgery

breast surgery - mastectomy (simple, skin sparing, nipple sparing) vs breast conserving surgery
axillary surgery - sentinel LN biopsy vs axillary dissection

reconstruction - implant vs autologous

Question 4

axillary dissection which level LN removed, which landmark, why

Answer 4

Level 1 lateral level 2 -posterior
pectoralis minor
prevent lymphoedema