Tx: Breast Conditions Flashcards
- Breast conditions - Breast cancer - Lactation conditions
1
Q
Fibrocystic disease
A
- Avoid trauma
- Use good supportive bra
- OTC analgesics
- Encourage breast self exam and regular f/u
2
Q
Fibroadenoma
A
- Watch and f/u
- Removal if obstructive or suspicious
3
Q
Cystosarcoma phyllodes
A
- Wide excision if nonmalignant
- Simple mastectomy = controversial tx of malignant form
4
Q
Galactorrhea (nipple discharge)
A
- Refer to surgery if necessary –> removal of affected duct
5
Q
Duct ectasia
A
- Total duct excision (resolves discharge, allows nipple eversion)
6
Q
Fat necrosis
A
- Self-limiting
- R/o malignancy or carcinoma if not resolved in 2 weeks (surgical bx)
7
Q
Mastitis - Pharm & Procedural
- Staph, MRSA tx
A
- May need abx
- Staph: Penicillin, Dicloxacillin, Amoxicillin, Augmentin, Cephalexin, Doxycycline, TMP-SMX
- MRSA: Doxycycline, TMP-SMX
- I&D if abscess
8
Q
Mastitis - Nonpharm (6)
A
- Empty the breast
- Rest
- Anti-inflammatories
- Warm compresses
- Well-fitting bra
- Hydration
9
Q
Breast abscess
A
- Early stage - abx, continue breastfeeding
- Later stage - abx, I&D, d/c breastfeeding
- Non-lactating - I&D
- Possible excision if duct involvement
10
Q
Gynecomastia
A
- D/c meds
- Breast surgeon
- Onc referral
11
Q
Breast cancer: ductal carcinoma in situ
A
- Lumpectomy + radiation
- Masectomy
- ER (+): hormone therapy
12
Q
Breast Cancer: Lobular carcinoma in situ
A
- Excisional bx +/- chemoprevention (Tamoxifen)
13
Q
Breast cancer stage 0-3
A
Curable!
- Surgery: lumpectomy or mastectomy
- +/- radiation, chemo, HER2 directed therapy, hormone therapy
14
Q
Breast cancer stage 4
A
Incurable
- Palliative radiation and chemotherapy. No surgery.
15
Q
Mastectomy often involves…
A
sentinel LN bx and possible lymphadenectomy (radical mastectomy)
