Breast Cancer Flashcards

1
Q

What is the number one cancer in women

A

Breast cancer

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2
Q

What are some risk factors for breast cancer

A

Age, race, family history, gene mutation

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3
Q

What are some protective factors of breast cancer

A

Breastfeeding and exercise

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4
Q

What are some genes that are specific for breast cancer

A

BRCA 1 and BRCA 2

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5
Q

What do you use to screen for breast cancer and when do you screen

A

Mammograms

Yearly for women >50

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6
Q

When would you use an MRI to screen for breast cancer

A

Screening high risk, such as those with the BRCA mutation

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7
Q

When should women preform clinical breast exam

A

Every 1-3 years 20-39

Yearly >40

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8
Q

When should one preform a self breast exam

A

Same day each month, a few days after menses ends

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9
Q

Where does breast cancer metastasize to first

A

Axillary lymph nodes then to the infraclavicular and supraclavicular

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10
Q

What is a mammorgram

A

Low dose XR of compressed breast

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11
Q

How early can a mammogram detect cancer

A

2 years before they would reach detable size on palpation

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12
Q

What ultimilty diagnosis someone with breast cancer

A

Biopsy

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13
Q

What type of biopsy is preferred

A

Core needle biopsy

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14
Q

What is the most common type of breast cancer

A

Invasive ductal cancer

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15
Q

What is the treatment for someone with breast cancer

A

Mastectomy or adjuvant therapy (radiation, chemotheray..)

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16
Q

What med can be given as treatment for breast cancer if they are ER+ or PR+

A

Tamoxifen

17
Q

When does a patient need to f/u after treatment of breast cancer

A

Every 3-6 months for 2 years then annually

Mammograms yearly

18
Q

If a patient is on Tamoxifin what do you need to make sure they get yearly

A

Pelvic exam

19
Q

What is an eczematous rash and ulceration around the nipple with associated underlying carcinoma

A

Paget’s disease

20
Q

How do you diagnose Paget’s disease

A

Full thickness biopsy of lesion

21
Q

How do you treat Paget’s disease

A

Mastectomy

22
Q

With what kind of breast cancer do cancer cells block lymph vessels

A

Inflammatory carcinoma

23
Q

How might an inflammatory carcinoma look on exam

A

“Peau d’orange” may be mistaken for mastitis. Diffuse pink/purple/red edematous with dimpling

24
Q

Is an older or younger women more likely to have inflammatory carcinoma

A

Younger

25
Q

What type of breast cancer is most common with inflammatory carcinoma

A

Invasive ductal carcinoma

26
Q

Does inflammatory carcinoma progress fast or slow

A

Fast (weeks-months)