11. Breast Lump

Question 1

4 most common diagnoses of a breast lump?
8 additional diagnoses?
Age dependent?

Answer 1

Question 2

Of the differentials for a breast lump, are there any which you would only encounter in a breast feeding woman?

Answer 2

Question 3

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Question 4

The first stage is to take a history from Miss Collins. What are the relevant pieces of information to obtain from the history?

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Question 5

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Question 6

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Question 7

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Question 8

If a breast lump is palpable on examination, what should the GP do next?

Answer 8

Question 9

How are all solid lumps investigated in the breast clinic?

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Question 10

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Question 11

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Question 12

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Question 13

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Question 14

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Question 15

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Question 16

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Question 17

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Question 18

6 Prognostic factors for breast carcinoma?

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Question 19

What is peau d’orange and what causes it?

Answer 19

Question 20

What is the difference between skin fixity and skin tethering?

Answer 20

Question 21

Contrast the role of adjuvant and neo-adjuvant chemotherapy.

Answer 21

Question 22

When is mastectomy preferred over breast-conserving surgery?

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Question 23

What are the advantage and disadvantages of FNA over core biospy?

Answer 23

Question 24

What methods exist for axillary staging of breast cancer?

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Question 25

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Question 26

What is ANDI?

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Question 27

A 40 year old woman comes to see you, her GP, because she is concerned that two of her younger sisters have developed breast cancer in their thirties. She has not had any genetic testing but has heard about BRCA genes on the news. She is convinced that she must be BRCA-positive and would like to be referred to a breast surgeon for a prophylactic bilateral mastectomy. How would you approach such a consultation?

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Question 28

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Question 29

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