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Breast Disease > What next > Flashcards

What next Flashcards

1
Q

Tx

A

Radical mastectomy - breast, underlying muscle, lymph nodes
Modified radical mastectomy - leave underlying muscle
Wide excision followed by radiotherapy

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2
Q

Adjuvant tx

A

Tamoxifen
Chemo - adjuvant or neoadjuvant. For those at risk of micrometastases. Some factors taken into account - stage of tumour, tumour phenotype, patient age, co-morbidities….

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3
Q

Indications for mastectomy

A
  1. Multifocality
  2. Local recurrence
  3. DCIS or invasion > 4cm
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4
Q

Reconstruction options

A

Implants
LD flaps
DIEP (deep inferior epigastric perforator)
Nipple tattoos or reconstruction

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5
Q

PREDICT

A

Online tool used to estimate breast cancer survival and the benefits of hormone therapy, chemotherapy and trastuzumab

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6
Q

Tamoxifen SE

A

Endometrial thickening - polyps, hyperplasia, cancer
Cataracts
DVT
Menopausal symptoms

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Breast Disease (8 decks)

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