Breast Flashcards
(46 cards)
Screening of breast ca
Age
Mammography
Starting at 40 yrs
Screening of breast ca in
High risk
BRCA+
RT
Age
MRI
25 yrs
Diagnosis of lump investigation
USG
solid vs cystic
Gene mutation in sporadic breast ca
p53
Gene in familial gene mutation in Ca breast
BRCA1
Gene mutation in Male breast ca
BRCA2
Most sensitive inv for DCIS
MRI
Popcorn calcifications on mammogram
Fibroadenoma
Mobile lump in breast
Fibroadenoma
Breast tumour with no LN involvement
Phyllodes tumour
Simple mastectomy due to hugh recurrence
Breast in breast
Hamartoma/Fibroadenolipoma
Genes on Chr 17
p53
BRCA1
NF1
Genes on Chr 13
RB
BRCA2
ATP7B
Peaud orange
Vs
Retraction
Vs
Dimpling
Superficial subdermal lymphatics——Skin involvement in breast ca
Lactiferous duct
Ligament of cooper
Not included in skin involvement
Staging of breast ca
And treatment
N0. N1. N2. N2. M1
T1. I IIA IIIA IIIC IV
T2. IIA IIB IIIA IIIC IV
T3. IIB IIIA IIIA IIIC IV
T4. IIIB IIIB IIIB IIIC IV
Stain for HER2
DAB
Diamino benzidine
Luminal A ca
PTM
Papillary variant
Tubular variant
Mucinius variant
Treatment of ERPR +
Post menopausal——Letrozole
SE—Osteoporosis
Premenopausal——Tamoxifene
SE—Cystic endometrial hyperplasia
Treatment for Her2neu+
Trastuzumab
SE—cardiotoxic
X
Lapatinib
Structures preserved in MRM
ABCD
Axillary vein
Bells nerve
Cephalic vein
Dorsal thoracodorsal nerve
Unilateral bloody nipple discharge from multiple ducts
Ca breast
UL or BL Bloody nipple discharge from single duct
Treatment
Duct papilloma
Microdochectomy
UL or BL Green nipple discharge from single duct
Treatment
Duct ectasia
Hadfield procedure
Most imp prognostic factor in Ca breast
LN>Size>Grade