Breast Conditions Flashcards
(28 cards)
risk factors for breast cancer
female gender age genetics precursor lesions birth of first child after 30 alcohol early menarche PMH or FH nulliparity obesity
1st and 2nd line investigations of the breast
- exam +/- MMG +/- USS
2. image guided tissue core-needle biopsy
preferred Tx for breast cancer
breast conserving surgery +/- radiation
what LNs are removed in a radical mastectomy
axillary
what kind of mastectomy is preferred for the patient?
skin sparing mastectomy
when is radiation indicated post-mastectomy?
more than 3 nodes involved
positive surgical margins
tumours >5cm
what is the only structure preserved in mastectomy?
pec major
DCIS is palpable/non palpable
non-palpable
presentation of DCIS on MMG
malignant califications
pleomorphic
Ix DCIS
vacuum assisted core biopsy
invasive lobular carcinoma is difficult to see on examination/imaging T or F
T
presentation of ductal carcinoma
stellate solid mass
pleomorphic casting microcalcifications
symptoms of breast cancer?
dimpled/depressed skin visible lump nipple change eg inversion bloody discharge texture change colour change
define ANDI
aberrations in the normal development and involution of the breast
give examples of ANDI
cysts
fibroadenomas
papilloma
“cauliflower extension from a duct”
papilloma
what can papillomas cause?
cancerous cysts
presentation of breast papilloma
bloody nipple discharge
Tx papilloma
removal
most common benign neoplasm of the breast?
fibroadenoma
what kind of breast discharge is normal?
white discharge
palpable mass in teenage years on breast…
fibroadenoma
describe a fibroadenoma on examination
rubbery to firm, mobile, smooth with distinct borders, non tender
what cancer tumour can mimic a fibroadenoma? how can you ifferentiate this?
phyllodes tumour
usually in older women, usually increase in size
