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Flashcards in Breast Disease Deck (18):
1

what is the screening requirements for breast CA as per ACOG?

40-49 yearly; 50-75 yearly; >75 individualized (NOTE: AMA says don't stop at 75)

2

what is the breast composition?

20% glandular 80% fat

3

what is the lymph drainage of the breast?

regional nodes in the axilla and clavicle

4

what is the major blood supply to the breasts?

internal thoracic artery and lateral thoracic artery

5

for how long should each breast be examined?

3 minutes at least

6

t or f: clusters of calcifications on mammo is a benign finding

FALSE

7

t or f: increased breast density is on mammo is a suspicious finding

TRUE

8

t or f: alcohol intake is a risk factor for breast CA

TRUE

9

over the age of 40, what should be the initial test of choice for a breast lump? less than 40

diagnostic mammography; ultrasound

10

in terms of aspiration fluid of a breast cyst - what is the next step after finding cloudy/blood aspirate? clear? and what if the cysts remain?

excision bx and imaging; reassure/monitor; excisional bx

11

fat necrosis is typically a result of what process?

trauma to the breast and subsequent bleeding into the tissue

12

rubbery, firm, freely mobile, solid and well circumcised lesion

fibroadenoma

13

tumor of older women typically larger than fibroadenoma

phylloides tumor

14

this is a PATHOLOGIC diagnosis and should NOT be described with clinical findings; classic symptoms include BILATERAL breast pain, increased size, pain, and nodularity

fibrocystic changes

15

t or f: pts of Ashkenazi Jewish ancestry are at increased risk of breast CA

TRUE

16

these lesions increase the risk of future breast CA anywhere in the breasts

atypical hyperplasia

17

nipple discharge that is spontaneous and bloody, from a single duct, persistent, and stains the clothes is most likely to be what?

intraductal carcinoma or papilloma

18

t or f: cyclic breast pain is typically unilateral

FALSE - bilateral (it's uni if it's noncylic most likely)