Breat Cancer

Question 0

3 red flag symptoms that may have normal imaging

Answer 0

• nipple inversion - if new, unilateral
• Paget’s disease of nipple
• inflammatory breast cancer - a bit like mastitis, red, inflamed

Question 1

6 Breast symptoms

Answer 1

• breast lump/lumpiness
• nipple discharge - bloody or clear fluid
• nipple change
• lump in axilla (can also get in bone)
• skin change
• pain (not usually breast cancer)

All breast symptoms seen within 2wks

Question 2

What is the best treatment for small breast cancer lumps

Answer 2

Survival rates are same for lumpectomy and radiotherapy vs mastectomy

Question 3

3 main categories of beast cancer drug treatment

Answer 3

• endocrine
  
  • if cancer is oestrogen receptor positive use Tamoxifen
• chemotherapy
  
  • use if oestrogen receptor negative of high risk oestrogen receptor negative
• designer drugs
  
  • Herceptin for HER2 protein over expression

If oestrogen receptor negative and HER2 negative, considered triple negative breast cancer - these have worst prognosis

Question 4

4 indications for mastectomy

Answer 4

• multifocal breast cancer
• local recurrence
• DCIS or local invasion >4cm
• BRCA1 or BRCA2 gene carrier - may request

1/3 have mastectomy

Question 5

What age is breast cancer screening

Answer 5

Age 47-53, 3 yearly, organised by GP

1/2 present with symptoms, 1/2 through screening

Question 6

What do you give if mother has breast infection while breast feeding

Answer 6

Encourage to continue breast feeding/ producing breast milk - stasis is not good and milk is fine for baby.

Give flucoxacillin - as it is fine for baby