Breast Cancer--Jen Flashcards Preview

Medical Conditions II > Breast Cancer--Jen > Flashcards

Flashcards in Breast Cancer--Jen Deck (17):
1

Risk Factors of Breast Cancer

-age
-BrCA gene
-family history
-dense breasts
-menstruation before 12 yo
-menopause after 55
-first pregnancy after 30
-never having been pregnant
-obesity
-alcohol use

2

Breast Anatomy

-collection of glands and fatty tissues
-clavicle to last few ribs
-over pec major, serratus ant, external obliques
-lobes made of lobules (produce milk)

3

mammograms

-yearly after age 40

4

Pathology of Breast Cancer

-slow growing
-may be present years before detection

5

indications for biopsy of breast

-mass
-bloody nipple discharge
-nipple retraction
-thickening of breast tissue
-palpable mammographic lesions
-non-palpable suspicious mammographic abnormalities

6

Breast Cancer:
Surgery

-modified radical mastectomy
-axillary node dissection
-sentinel node biopsy

7

Modified radical Mastectomy

-remove breast tissue and axillary lymph nodes and pec minor may be removed

8

Breast Cancer:
Radiation

-for lumpectomy and some MRM

9

Side Effects of Radiation

-reddened skin
-thickening/fibrosis of breast tissue
-edema
-fatigue

10

Breast Cancer:
Chemotherapy

-interfere with cellular metabolism/growth

11

Side Effects of Chemo

-bone marrow suppression
-peripheral neuropathy
-joint pain
-alopecia
-GI upset
-Fatigue
-decreased functional capacity

12

Breast Cancer:
Endocrine/Biological Therapy

-positive estrogen/progesterone receptors in tumor tissue
-block estrogen receptors to interfere with cell growth
-side effects like menopause

13

Breast Reconstruction Surgery

-simple implant
-autologous muscle flap
---rectus abdominis, DIEP, latissimus dorsi, Gracilis (TUG)

14

When using Lat Dorsi for breast reconstruction

-NO shoulder extension in PT

15

Limitations Post Breast Cancer Treatment

-fatigue
-N/T (post arm)
-adhesions/scarring
-cording (tight/scarring down of lymphatic veins)
-shoulder dysfunction (ROM, neck/shdr pn, Mm spasm/imbalances)

16

Cording

-scarring/tight lymphatic veins
-Treatment: median nerve glide positions
-gentle ROM

17

PT Intervention (post breast cancer treatment)

-shoulder/CS/TS assessment
-scar mob
-nerve mob
-Mm imbalances
-restore/improve scap-hum mechanics
-posture/body mechanics
-pt edu
-screen for lymphedema