Breast Flashcards

(46 cards)

1
Q

Screening of breast ca
Age

A

Mammography

Starting at 40 yrs

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2
Q

Screening of breast ca in
High risk
BRCA+
RT

Age

A

MRI
25 yrs

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3
Q

Diagnosis of lump investigation

A

USG
solid vs cystic

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4
Q

Gene mutation in sporadic breast ca

A

p53

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5
Q

Gene in familial gene mutation in Ca breast

A

BRCA1

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6
Q

Gene mutation in Male breast ca

A

BRCA2

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7
Q

Most sensitive inv for DCIS

A

MRI

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8
Q

Popcorn calcifications on mammogram

A

Fibroadenoma

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9
Q

Mobile lump in breast

A

Fibroadenoma

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10
Q

Breast tumour with no LN involvement

A

Phyllodes tumour

Simple mastectomy due to hugh recurrence

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11
Q

Breast in breast

A

Hamartoma/Fibroadenolipoma

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12
Q

Genes on Chr 17

A

p53
BRCA1
NF1

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13
Q

Genes on Chr 13

A

RB
BRCA2
ATP7B

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14
Q

Peaud orange
Vs
Retraction
Vs
Dimpling

A

Superficial subdermal lymphatics——Skin involvement in breast ca

Lactiferous duct

Ligament of cooper
Not included in skin involvement

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15
Q

Staging of breast ca
And treatment

A

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

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16
Q

Stain for HER2

A

DAB
Diamino benzidine

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17
Q

Luminal A ca

A

PTM

Papillary variant
Tubular variant
Mucinius variant

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18
Q

Treatment of ERPR +

A

Post menopausal——Letrozole
SE—Osteoporosis

Premenopausal——Tamoxifene
SE—Cystic endometrial hyperplasia

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19
Q

Treatment for Her2neu+

A

Trastuzumab
SE—cardiotoxic

X

Lapatinib

20
Q

Structures preserved in MRM

A

ABCD

Axillary vein
Bells nerve
Cephalic vein
Dorsal thoracodorsal nerve

21
Q

Unilateral bloody nipple discharge from multiple ducts

22
Q

UL or BL Bloody nipple discharge from single duct

Treatment

A

Duct papilloma

Microdochectomy

23
Q

UL or BL Green nipple discharge from single duct

Treatment

A

Duct ectasia

Hadfield procedure

24
Q

Most imp prognostic factor in Ca breast

A

LN>Size>Grade

25
Flap used for breast reconstruction
Ideal DIEP Deep Inferior Epigastric Perforator Flap Deep inferior epigastric vessel MC used TRAP Transverse Abdominus Perforator
26
Diseases of breast ass with smoking
Mondors disease Duct ectasia Ca breast
27
Structures of Chest wall involvement in T4a Ca breast
Ribs ICM Serratus anterior NOT PECTORALIS
28
Skin involvement in T4b of Ca breast
Peaud orange Ulceration Satellite nodule
29
LN grading of Ca breast
N0——No node N1——IL mobile axillary N2a——IL matted axillary N2b——IL internal mammary N3a——IL infraclavicular N3b——IL internal mammary + matted axillary N3c——IL supraclavicular
30
Site of distant mets of ca breast
Bones Lumbar vertebrae
31
Mc cause of secondary osteolytic secondaries
Ca breast
32
New drug for ER/PR + advanced breast ca
Palbocicilib CDK4/6 inhibitor
33
N prognostic index
(0.2 x Size) + LN status + Grade
34
Minimum no of LN removed in breast ca
10
35
Pectoralis major and minor in various sx of breast ca
Halsted/Radical——Both removed Pateys MEM——Major fascia and minor MRM——Major fascia and retract minor
36
Mc complication of MRM
Seroma
37
Major disabling complication of MRM
Stewert Treves Syndrome Angiosarcoma
38
Mc nerve injury in MRM
Long thoracic Intercostobrachial nerve
39
Dyes used in sentinel LN biopsy
Isophane blue Methylene blue In pregnance Low dose Tc99Sulphur colloid
40
Indian file patter in breast
LCIS
41
Chemotherapy has no role in which breast pathology
DCIS
42
Pagets vs Melanoma
CEA CEA PAS PAS CK CK SMB-ve SMB+ve
43
Mc ca in male breast
Invasive ductal ca NOS
44
Treatment of breast abscess
USG guided percutaneous aspiration
45
Egg shell calcifocation of breast
Breast trauma Fat necrosis Mimic of breast ca
46
No role of LNectomy in which breast pathology
Phyllodes tumour (Cystosarcoma)