Flashcards in breast disease Deck (32)
1
unilateral nipple discharge is more likely benign or malignant
malignant
2
breast lump fixed to chest wall?
malignant
3
when a discrete mass is breast, what to use?
mammogram
4
duct ectasia: malignant or benign
benign, with no risk for malignancy
5
dilated duct that widens, duct walls thicken, duct fills with milky fluid
duct ectasia
6
most common benign breast tumor
fibroadenoma
7
when do lactating adenoma typically develop?
during pregnancy
8
most common cause of blood nipple discharge
intraductal papilloma
9
tx of intraductal papilloma
duct excision
10
tx of fibrocystic disease
1. d/c estrogen
2. avoid caffeine
11
thrombophlebitis of thoraco-epigastric vein
mondor's disease
12
if triple receptor negative breast cancer under age 60, what else should you test for?
BRCA
13
what (T) stage if carcinoma in situ (DCIS, LCIS, paget disease)
Tis
14
what (T) stage: tumor under 2 cm across
T1
15
what (T) stage: tumor > 2 cm across, but under 5 cm
T2
16
what (T) stage: tumor > 5 cm across
T3
17
(N) stage: 1-3 axillary LN
N1
18
(N) stage: 4-9 axillary LN
N2
19
(N) stage: spread to axillary LN & internal mammary nodes, or >10 axillary LN involved
N3
20
the most common type of breast cancer
invasive ductal carcinoma
21
____is used to tx ER+ cancer
tamoxifen
22
_____is used to tx HER2+ cancer
trastuzamab
23
what is dx is a woman presents with peau d'orange and erythema
punch biopsy for inflammatory breast cancer
24
starts in the milk ducts, spreads to nipple, causes a crusty scaly red nipple
paget disease of the nipple
25
women over the age ____should have what breast cancer screening?
>40 yo; annual breast exam + mammogram
26
age 25-40 should have clinical breast exams how often
every 1-3 years
27
what is the BI-RAD system
breast imaging reportign and data system
28
BI-RAD: benign finding
BI-RAD 2
29
BI-RAD: suspicious for malignancy
BI-RAD 4
30
breast conservation tx for cancer consists of?
lumpectomy + sentinel LN biopsy + whole breast radiation tx
31
difference in survival b/w lumpectomy vs masectomy
no difference in survival if lumpectomy performed with radiation
32