Breast Disorders Flashcards Preview

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Flashcards in Breast Disorders Deck (14):
1

Drugs that cause gynecomastia?

STACKED

Spironolactone
THC
alcohol
Cimetidine
Ketoconazole
Estrogen
Digoxin

2

Breast abscess has a fever, broad area of warmth and tenderness, purulent drainage.

How is it different than galactocele?

Galactocele is just clocked milk duct, no puss (just inflamed because clogged and since clogged of course won't drain!)

3

Young woman with breast mass that is mobile is what?

Fibroadenoma

4

Dx of fibroadenoma?

Ultrasound or FNA

DO NOT NEED MAMMOGRAM

If over 35, do mammogram

5

Intraductal papilloma history?

Benign lesion of ductal tissue

Bloody nipple discharge or spontaneous discharge

6

Nonbloody discharge that comes out with expression?

usually not cancer

7

Most common breast mass age 35-50?

Fibrocystic change

8

Gene in men with breast cancer?

BRCA2

9

Cyst is not cancer!

So you do ultrasound to see if it is fluid filled before biopsy if low suspicion of malignanc

10

What breast cancer is always ER and PR positive?

Lobular carcinoma in situ

11

Inflammatory cancer mimics mastitis, so beware if mastitis not getting better!

oh ok

12

Tx of DCIS?

Lumpectomy and possibly radiation

Mastectomy if high risk

13

LCIS treatment?

Close observation

SERMs reduces invasion

Can still do bilat mastectomy if you want

14

Invasive carcinoma of breast tx?

Early and focal: lumpetomy

Multifocal? mastectomy

Do sentinal node biopsy