Breast disease Flashcards
what is the triple assessment
clinical exam
mammogram/US
core needle biopsy
what do you see on mammogram in DCIS
micro-calcifications
staging method for breast cancer
TMN
Tumour (T0-T4 based on size)
Nodes (N0-N3 depending on how many and which lymph nodes it had migrated to)
Metastasis (M0-M1)
what requires an urgent referral to breast clinic
> 30 unexplained breast mass
50 nipple discharge, skin changes
what requires a non-urgent referral to breast clinic
<30 unexplained breast mass
Drug for ER+ pre menopausal
Tamoxifen
Drug for ER+ post-menopausal
Anastrazole
Drug for HER+ and main side effect
Trastuzumab, cardiotoxicity
presentation of fibroadenoma
firm, non-tender, highly mobile
what is fibrocystic disease of the breast?
cyclical pain and lumpiness of breasts bilaterally, associated with menstrual cycle
management of fibrocystic disease
supportive
soft bra, avoid caffeine
presentation of Phyllodes tumour
smooth, hard lump, grows rapidly
differentiating between phyllodes tumour and fibroadenoma
FA doesn’t grow as rapidly, FA occurs in younger women
presentation of Paget’s disease
eczema around nipple area
bloody/straw discharge
burning
inverted nipple
presentation of mastitis
unilateral inflammation of breast
painful + tender
associated with fever, myalgia, rigors
