Breast

Question 1

Lecturer?

Answer 1

Helen sweet land

Question 2

Most common breast complaint?

Answer 2

Lump -70%
Pain - 30%
Nipple discharge - 2%

Question 3

Normal structure?

Answer 3

Add pic

Question 4

Wist does ANDI mean?

Answer 4

Aberrations of normal development and involution

Question 5

Bening changes?

Answer 5

ANDI
Fibrocystic change
Fibroadenoma
Phylloxera tumour
Cysts
Sclerosing adenosis/radial scar

Question 6

Triple assessment?

Answer 6

Examination and history
Radiological imaging
Histology - core or fine needle

Question 7

Fibroadenoma

Answer 7

Early 30s
Well defined
Smooth edge
Mobile
Firm
Histo- fibrous stroma with glandular elements

Question 8

Breast cysts?

Answer 8

30s around menopause
Tender and sudden
Resolve spontaneously
Multiple
Diagnosis confirmed by us and aspiration

Question 9

Phyllodes tumour

Answer 9

45 years
Rapidly enlarge may ulcer
5-6cm
Well circumscribed with soft fleshy mass
Fibro-epithelial Tumor stroma predominates 
Mitosis may be present
Needs excision
May recur

Question 10

Other bening lumps?

Answer 10

Fat necrosis
Galactocoele
Lipoma

Question 11

Multiple nipple discharge?

Answer 11

Duct ectasia

Question 12

Profuse milk discharge?

Answer 12

Prolactinoma

Question 13

Single duct?

Answer 13

Intraduct papilloma

Question 14

Is pagets nipple signs of an underlying carcinoma? Describe it’s histology

Answer 14

Yes.

Pagetoid spread intra epithelial infiltration by malignant cells

Question 15

Signs of breast cancer?

Answer 15

Lump
Skin dimples
Nipple inversion
Pagets
Peau d'orange
Axillary mass
Metastatic disease

Question 16

Prognostic index?

Answer 16

Nottinghams prognostic index

Adjuvantonline

Question 17

Sentinel isotope? And the technique

Answer 17

99m Tc albumin colloid - 2ml of 20 MBq

Peritunoural periareolar or intra dermal

Ltmphoscintiscan after 3 hours