Breast

Question 1

Invasive ductal carcinoma

Answer 1

Most common type of breast cancer

Question 2

Screening

Answer 2

Offered every 3 years between the ages of 47-73 years

Question 3

Breast abscess

Answer 3

Can develop from mastitis and can occur in women who are breast feeding
-staph. aureus

Question 4

Duct ectasia

Answer 4

Occurs close to menopause as the duct contract

• creamy discharge from several ducts
• associated nipple inversion

Question 5

Intraductal papilloma

Answer 5

• single duct discharge

- small amounts of blood in fluid

Question 6

Herceptin

Answer 6

Also known as trastuzumab this is used to treat Her2 +ve breast cancer

Question 7

Inflammatory breast cancer

Answer 7

Progressive erythema and oedema of the breast in the absence of sings of infection

Question 8

Periductal mastitis

Answer 8

Common in smokers and may present with recurrent infection

-co-amoxiclav

Question 9

Fibroadenosis

Answer 9

• middle aged women
• lump breasts
• pain and size related to menstruation

Question 10

Snowstrom sign

Answer 10

Seen on ultrasound of axillary lymph nodes and indicates breast implant rupture

Question 11

Neo-adjuvant chemotherapy

Answer 11

Can be used to try to shrink the size of tumour before surgery allowing breast conserving surgery

Question 12

Wide local excision

Answer 12

Favoured if the mass is less than 4cm and the women wants this option

Question 13

Fat necrosis

Answer 13

Suspect with a history of trauma and presents as a breast lump

Question 14

Letrozole

Answer 14

Endocrine therapy used to treat ER +ve breast cancer in post menopausal women

Question 15

BRCA1 and BRCA2

Answer 15

Inherited in an autosomal dominant manor

Question 16

Aromatase inhibitors

Answer 16

Include anastrozole and can increase the risk of osteoporosis

Question 17

Breast cyst

Answer 17

Soft and fluctuant mass that shows halo sign on mammography