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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

effect of contralateral prophylactic masectomy on survival

no difference