Breast

Question 1

Most common non proliferative breast lesion

Answer 1

cyst

Question 2

Most common proliferative breast lesion without atypia?

Answer 2

fibroadenoma

Question 3

Breast lesion associated with breast pain, frequently bilateral, varies with menstrual cycle, nipple discharge (straw, brown, green)

Answer 3

Cyst

Question 4

MNGT: breast cyst with severe pain

Answer 4

OCP, Danazol, bromocriptine

Question 5

Most common cause of unilateral spontaneous blood nipple discharge

Answer 5

intraductal papilloma

Question 6

Breast lesion associated with trauma

Answer 6

Fat Necrosis

Question 7

Fat Necrosis pathognomonic on mammogram

Answer 7

oil cysts

Question 8

risk factor for breast cancer
1. age on 1st pregnancy
2. age on menarche
3. age on menopause
4. years of HRT use
5. years of OCP use

Answer 8

■ nulliparity,
frst pregnancy >30 yr, menarche <12 yr, or menopause >55 yr
■ decreased risk with lactation, early menopause, and early childbirth
■ >5 yr HRT use, >10 yr OCP use

Question 9

Most common male breast CA

Answer 9

• most commonly invasive ductal carcinoma

Question 10

Breast investigation used to differentiate solid and cystic mass?

Answer 10

UTZ

Question 11

Investigation: Nipple discharge

Answer 11

galactogram/ductogram (for nipple discharge): identifes lesions in ducts

Question 12

Metastatic work up Breast

Answer 12

bone scan, abdominal U/S, CXR (or CT chest/
abdomen/pelvis), CT head

Question 13

Breast Triple test

Answer 13

breast exam
imaging
biopsy

Question 14

Breast Imaging >/= 30yo

Answer 14

mammogram and UTZ

Question 15

Breast imaging <30

Answer 15

UTZ

Question 16

Needle aspiration is done for what lesion?

Answer 16

palpable cystic lesion

Question 17

When do you send cystic aspirate for cytology?

Answer 17

If it is blood or cyst does not resolve

Question 18

BRCA genetic testing considered for
1. age?
2. bilateral cancer age?
3. diagnosed with what cancer?
4. history of what cancer?

Answer 18

1. age <35
2. bilateral <50
   3 breast AND ovarian
3. strong family history breast and ovarian
4. male breast ca

Question 19

Most common breast CA

Answer 19

invasive ductal CA

Question 20

Breast CA hard to detect in mammogram

Answer 20

Lobular

Question 21

ductal carcinoma that invades nipple with scaling, ulceration, erythema, and eczematous lesion

Answer 21

Paget’s Disease of the Breast (1-3%)

Question 22

most aggressive form of breast cancer

Answer 22

Infammatory Carcinoma (1-3%)

Question 23

Most common breast sarcoma

Answer 23

phyllodes tumour