breast stuff missed

Question 1

triple assessment include

Answer 1

clinical
imaging - mammogram + US
pathology - US guided core biopsy

Question 2

what is the secretory cell in breast

Answer 2

acini

Question 3

what cells in the breast contract to eject milk

Answer 3

myoepithelial

Question 4

benign breast tumours

Answer 4

phyllodes tumour

intraductal papilloma

Question 5

non neopastic breast diseases

Answer 5

gynaecomastia
fibrcystic change 
hamartoma
fibroadenoma
scelrosing lesion

Question 6

what drugs can cause fat necrosis of breast

Answer 6

warfarin

Question 7

leaf tumour

Answer 7

phyllodes

Question 8

what type of carcinomas are breast carcinomas

Answer 8

adenocarcinomas

Question 9

types of breast carcinoma

Answer 9

ductal and lobular

Question 10

precursor lesions to lobular neoplasia

Answer 10

atypical lobular hyperplasia

lobular carcinoma in situ

Question 11

features of lobular neoplasia

Answer 11

multifocal and bilateral
not palpable - incidental finding
may calcify - seen on mammogram

Question 12

what is pagets disease of the nipple

Answer 12

high grade DCIS oxtending down duct to nipple . still an in situ carcnoma

Question 13

management of DCIS

Answer 13

surgery
adjuvant XRT
chemoprevention

Question 14

what identifies an invasive breast carcinoma

Answer 14

has broken through basement membrane with poss metastesis

Question 15

give examples of anti oestrogen therapy

Answer 15

oophrectomy
tamoxifen ( OE receptor antag )
aromatase inhibitors -letrozole
GnRH analogues - goserelin

Question 16

what gives the bests prognosis in terms on receptor expression in breast cancer

Answer 16

OE +
PR +
HER2 -

Question 17

what is the proper name of herceptin

Answer 17

trastuzamab - monoclonal antibody

Question 18

what cancer is US low sensitivity for

Answer 18

DCIS

Question 19

what is the most sensitive imaging modality for breast Ca

Answer 19

MRI