WlwG Breast Flashcards

1
Q

Sus or benign: Segmental calcs

A

Suspicious
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sus or benign: Branching calcs

A

Suspicious (DCIS)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sus or benign: Grouped calcs

A

Suspicious
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sus or benign: Coarse heterogeneous calcs

A

Suspicious (fibroadenoma or papilloma)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sus or benign: Fine pleomorphic calcs

A

Suspicious (DCIS/IDC)
(“Be SusPiCious” = branching, segmental, pleomorphic, coarse”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sus or benign: Scattered distribution calcs

A

Benign (Fibrocystic change)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sus or benign: Near skin/dermal calcs

A

Benign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Sus or benign: Linear calcs

A

Benign (vascular)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sus or benign: Semi-circular calcs

A

Benign (milk of calcium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sus or benign: Popcorn calcs

A

Benign (fibroadenoma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Archi distortion with calcs dx?

A

IDC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Archi distortion without calcs dx?

A

ILC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Dilated ducts less than 2cm length dx?

A

Suspicious (papilloma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dilated ducts more than 2cm length dx?

A

Benign (ductal ectasia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nipple discharge Dx: Milky

A

Endocrine (thyroid/pit prolactinoma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nipple discharge Dx: Non-milky pre-menopause

A

Fibrocystic change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Nipple discharge Dx: Non-milky post-menopause

A

Ductal ectasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Nipple discharge Dx: Bloody

A

Papilloma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Nipple discharge Dx: Cheesy pus

A

DCIS

20
Q

Birads management: 0

A

Repeat as inadequate scan

21
Q

Birads management: 1

A

Normal breast

22
Q

Birads management: 2

A

Completely benign findings (eg fatty/cyst)

23
Q

Birads management: 3

A

2 years of follow up (fibroadenoma, 6 12 24 months)

24
Q

Birads management: 4

A

Biopsy (indeterminate)

25
Q

Birads management: 5

A

Biopsy (cancer)

26
Q

Breast cancer stages 0 to 4 classification?

A

0 (DCIS), 1 (<2cm), 2 (2-5cm or axillary LN), 3 (>5cm or matted axillary LN), 4 (mets)

27
Q

Heterogeneous calcs with cheesy pus dx

A

DCIS

28
Q

Pleomorphic calcs with spiculated mass dx

A

IDC

29
Q

Male breast cancer dx

A

IDC

30
Q

Archi distortion without central mass dx

A

ILC

31
Q

Bilateral breast cancer dx

A

ILC

32
Q

Inflammed but painless breast dx

A

Inflammatory breast cancer

33
Q

Breast mass, no calcs, US posterior enhancement instead of shadowing dx

A

Medullary cancer

34
Q

Sub-areolar mass, calcifications dx

A

Papilloma

35
Q

Slow growing mass with tubule formation dx

A

Tubular carcinoma

36
Q

Nipple eczema with discharge dx

A

Pagets

37
Q

Hyperdense mass in breast dx

A

DLBCL/Non-hodgkins lymphoma of breast

38
Q

Fatty breast mass without calcs dx

A

Lipoma

39
Q

Fatty breast mass with egg-shell calcs dx

A

Oil cyst/fat necrosis post trauma

40
Q

Heterogeneous fatty breast mass, well defined dx

A

Hamartoma

41
Q

Fat-fluid level cyst in breast dx

A

Galactocele

42
Q

Non-fatty well-defined mass with surrounding halo +/- popcorn calcs dx

A

Fibroadenoma

43
Q

Hypoechoic, T1-hypo, T2-hyper, enhancing well-defined mass dx

A

Fibroadenoma

44
Q

Encapsulated mass in 40-50 year old dx

A

Phyllodes

45
Q

Dilated sub-areolar ducts with calcs, nipple discharge dx

A

Ductal ectasia

46
Q

Inflammed breast with pain dx

A

Mastitis (staph infn during lactation in smoker/DM)

47
Q

US Breast: Cyst vs Fibroadenoma vs Cancer

A

Echoic: Cyst anechoic, FA/cancer hypoechoic
Shape: Cyst/FA round, cancer irregular
Enhancement: Cyst/FA posterior enhancement, cancer posterior SHADOWING
Calcs: Cyst no calcs, FA gross calcs, Cancer +/- small calcs