Breast

Question 1

What determines management before surgery in breast cancer patients?

Answer 1

Presence/absence of axillary lymphadenopathy

-No palpable: pre-op axillary US before 1st surgery
-If that’s negative then sentinel node biopsy

Question 2

If ptnt presents with breast cancer + palpable lymphadenopathy what is indicated?

Answer 2

Axillary node clearance

Question 3

What hormonal therapy is used in pre/peri-menopausal women?

Answer 3

Tamoxifen

Question 4

What hormonal treatment is used in post-menopausal women?

Answer 4

Aromatose inhibitor (anastrozole)

Question 5

Anastrozole or letrozole is used for what category + of breast cancer?

Answer 5

ER +ve

Question 6

What drug is used in HER2 +ve tumors?

Answer 6

Trastuzumab (Herceptin)

Question 7

SE of axillary node clearance in Breast Canc?

Answer 7

Lymphoedema + functional arm impairment

Question 8

What is tamoxifen used against?

Answer 8

Oestrogen receptor +ve breast cancers

Question 9

Breast mice?

Answer 9

Fibroadenoma
(discrete, non-tender, mobile lumps)

Question 10

Lumpy breasts?

Answer 10

Fibroadenosis

Question 11

Nippley eczema?

Answer 11

Paget’s disease of breast

Question 12

Obese woman, following trauma, firm round lump may become hard?

Answer 12

Fat necrosis

Question 13

What size would you chop out a fibroadenoma?

Answer 13

3cm or more

Question 14

1st line for cyclical mastalgia?

Answer 14

Supportive bra
Simple analgesia

Question 15

Mechanism of anatrazole?

Answer 15

Inhibition of peripheral oestrogen synthesis

Question 16

Blood-stained discharge from breast indicates what?

Answer 16

Intraductal papilloma

Question 17

AB treatment for lactational mastitis?

Answer 17

Fluclox 10 days

Question 18

Halo sign?

Answer 18

Breast cyst

Question 19

Green nipple discharge

Answer 19

Duct ectasia