breast disease

Question 1

unilateral nipple discharge is more likely benign or malignant

Answer 1

malignant

Question 2

breast lump fixed to chest wall?

Answer 2

malignant

Question 3

when a discrete mass is breast, what to use?

Answer 3

mammogram

Question 4

duct ectasia: malignant or benign

Answer 4

benign, with no risk for malignancy

Question 5

dilated duct that widens, duct walls thicken, duct fills with milky fluid

Answer 5

duct ectasia

Question 6

most common benign breast tumor

Answer 6

fibroadenoma

Question 7

when do lactating adenoma typically develop?

Answer 7

during pregnancy

Question 8

most common cause of blood nipple discharge

Answer 8

intraductal papilloma

Question 9

tx of intraductal papilloma

Answer 9

duct excision

Question 10

tx of fibrocystic disease

Answer 10

1. d/c estrogen

2. avoid caffeine

Question 11

thrombophlebitis of thoraco-epigastric vein

Answer 11

mondor’s disease

Question 12

if triple receptor negative breast cancer under age 60, what else should you test for?

Answer 12

BRCA

Question 13

what (T) stage if carcinoma in situ (DCIS, LCIS, paget disease)

Answer 13

Tis

Question 14

what (T) stage: tumor under 2 cm across

Answer 14

T1

Question 15

what (T) stage: tumor > 2 cm across, but under 5 cm

Answer 15

T2

Question 16

what (T) stage: tumor > 5 cm across

Answer 16

T3

Question 17

(N) stage: 1-3 axillary LN

Answer 17

N1

Question 18

(N) stage: 4-9 axillary LN

Answer 18

N2

Question 19

(N) stage: spread to axillary LN & internal mammary nodes, or >10 axillary LN involved

Answer 19

N3

Question 20

the most common type of breast cancer

Answer 20

invasive ductal carcinoma

Question 21

____is used to tx ER+ cancer

Answer 21

tamoxifen

Question 22

_____is used to tx HER2+ cancer

Answer 22

trastuzamab

Question 23

what is dx is a woman presents with peau d’orange and erythema

Answer 23

punch biopsy for inflammatory breast cancer

Question 24

starts in the milk ducts, spreads to nipple, causes a crusty scaly red nipple

Answer 24

paget disease of the nipple

Question 25

women over the age ____should have what breast cancer screening?

Answer 25

>40 yo; annual breast exam + mammogram

Question 26

age 25-40 should have clinical breast exams how often

Answer 26

every 1-3 years

Question 27

what is the BI-RAD system

Answer 27

breast imaging reportign and data system

Question 28

BI-RAD: benign finding

Answer 28

BI-RAD 2

Question 29

BI-RAD: suspicious for malignancy

Answer 29

BI-RAD 4

Question 30

breast conservation tx for cancer consists of?

Answer 30

lumpectomy + sentinel LN biopsy + whole breast radiation tx

Question 31

difference in survival b/w lumpectomy vs masectomy

Answer 31

no difference in survival if lumpectomy performed with radiation

Question 32

effect of contralateral prophylactic masectomy on survival

Answer 32

no difference