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