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Flashcards in Breast Deck (40)
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1

What is a risk assessment tool that calculates invasive CA risk in the next 5 years and overall risk? Focussed on first degree relatives

Gail model

2

What risk assessment tool incorporates 1st and 2nd degree male and female relatives and family members w/ ovarian CA. No personal/ lifestyle risks.

Claus model

3

What is a model that is given for high risk women in a given family? It maps out mutation frequencies, penetration/ affected carriers. Age of onset: 1st and 2nd degree male and female relatives

RBCAPRO model

4

What is the primary node that drains the area from around the breast? This is usually tested during a mastectomy.

Sentinel node

5

When is the ideal time for the BSE to be performed?

5-7 days after onset on menses

6

When is nipple discharge considered abnormal?

If occurs >6 months after cessation of breast feeding

7

How often should a CBE be done for women 20-39?

Every 1-3 years

8

How often should CBE be done for women over 40?

Annually

9

When should mammograms be done according to ACOG, AMA, and ACS?

Annually >40 years old

10

When does USPSTF believe mammography should be given?

every 2 years from 50-74 y/o

11

ER positive cancer means what?

Estrogen receptor positive

12

According to ACS when should a women get a MRI?

Known lifetime risk >20%
BRCA mutation (or 1st degree relative with)
Chest radiation (ages 10-20)
patient with 1st degree relative has high risk genetic cancer
Known risk 15-20%
Breast CA, LCIS< DCIS atypical hyperplasia
Dense/ uneven breasts

13

A women who had ER positive cancer can use this drug for chemoprevention in post cancer.

SERMs

14

What are two types of SERMs?

Thamoxifen
Raloxifene

15

What are some side effects of SERMs?

Endometrial Ca
thromboembolic events
Cataracts

16

What SERM is for post-menopausal women and has less side effects?

Raloxifene

17

What's the first question to ask?

Do you have any breast concerns/ issues today?

18

Green nipple discharge can indicate what?

Fibrocystic changes

19

Are breast cancers usually tender or non-tender?

Non-tender

20

What shape is not reassuring in a breast exam?

Irregular

21

Is it better for a mass to move or fixed?

Move

22

What consistency indicates a non-cancerous mass?

Smooth, rubbery,

23

What is usually found in pre menopausal women, well defined, round, mobile. No skin retraction. Non-proliferative

Cyst

24

What is a discrete, round, firm, mobile & nontender, solitary. No skin retraction, reproductive years usually.

Fibroadenoma

25

What are 3 types of proliferative lesions without atypia?

• intraductal papillomas
• epithelial hyperplasia
• sclerosing adenosis

26

What are the 2 types of proliferative lesions with atypia?

LCIS
DCIS

27

This type mass is very mobile, well delineated, may be soft or firm, is round, disclike or lobular and is usually found in young adults.

Fibroadenoma

28

This type of breast mass are round and soft to firm, usually elastic. They are well delineated and mobile and often tender. Usually found in women 30-50.

Breast cyst

29

This breast is most commonly found in women over 50. Has an irregular or stellate shape and is firm or hard. Not clearly delineated and may be fixed to skin or underlying tissues. Retraction may be present.

Cancer

30

Which type breast cyst is often tender?

Cyst