Flashcards in Breast Deck (40)
What is a risk assessment tool that calculates invasive CA risk in the next 5 years and overall risk? Focussed on first degree relatives
What risk assessment tool incorporates 1st and 2nd degree male and female relatives and family members w/ ovarian CA. No personal/ lifestyle risks.
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
What is the primary node that drains the area from around the breast? This is usually tested during a mastectomy.
When is the ideal time for the BSE to be performed?
5-7 days after onset on menses
When is nipple discharge considered abnormal?
If occurs >6 months after cessation of breast feeding
How often should a CBE be done for women 20-39?
Every 1-3 years
How often should CBE be done for women over 40?
When should mammograms be done according to ACOG, AMA, and ACS?
Annually >40 years old
When does USPSTF believe mammography should be given?
every 2 years from 50-74 y/o
ER positive cancer means what?
Estrogen receptor positive
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
A women who had ER positive cancer can use this drug for chemoprevention in post cancer.
What are two types of SERMs?
What are some side effects of SERMs?
What SERM is for post-menopausal women and has less side effects?
What's the first question to ask?
Do you have any breast concerns/ issues today?
Green nipple discharge can indicate what?
Are breast cancers usually tender or non-tender?
What shape is not reassuring in a breast exam?
Is it better for a mass to move or fixed?
What consistency indicates a non-cancerous mass?
What is usually found in pre menopausal women, well defined, round, mobile. No skin retraction. Non-proliferative
What is a discrete, round, firm, mobile & nontender, solitary. No skin retraction, reproductive years usually.
What are 3 types of proliferative lesions without atypia?
• intraductal papillomas
• epithelial hyperplasia
• sclerosing adenosis
What are the 2 types of proliferative lesions with atypia?
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.
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.
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.