FN: Breast:Other breast disease Stromal tumours and Malignancy Flashcards Preview

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Flashcards in FN: Breast:Other breast disease Stromal tumours and Malignancy Deck (24):
1

Fibroadenoma patient

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2

Fibroadenoma patient

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3

Fibroadenoma presentation

commonest benign tumour
Painless, mobile, rubbery mass
Often multiple and bilateral

4

Fibroadenoma Rx

Reassurance + f/up if 2.5cm
2. FH of breast Ca
3. Pt. choice

5

Phylloides tumour epi

50s+

6

Phylloides tumour presentation

Large, fast growing mass
Mobile, non-tender
Epithelial and connective tissue elements

7

Phylloides tumour Rx

WLE

8

DCIS clinical

Presents as microcalcification on mammogram
Rarely associated with symptoms:
1. lump
2. discharge
3. eczematous change = pagets
4. Ca @ 1%/yr (10x increased risk) in ipsilateral breast

9

DCIS Rx

WLE + radiotherapy
Extensive of multifocal - masectomy + reconstruction + reconstruction + SNB

10

Pagets Clinical

Unilateral, scaly, erythematous, itchy +/- palpable mass (invasive carcinoma

11

Pagets Rx

Usually underlying invasive or DCIS breast cancer
Mastectomy + radio ± chemo

12

LCIS

Incidental biopsy finding (no calcification)
Often bilat (20-40%)
Young women
Incerased risk of Ca (x10) in both breasts

13

LCIS Rx

Bilateral prophylactic mastectomy or close watching with mammographic screening

14

Fibroadenoma presentation

commonest benign tumour
Painless, mobile, rubbery mass
Often multiple and bilateral

15

Fibroadenoma Rx

Reassurance + f/up if 2.5cm
2. FH of breast Ca
3. Pt. choice

16

Phylloides tumour epi

50s+

17

Phylloides tumour presentation

Large, fast growing mass
Mobile, non-tender
Epithelial and connective tissue elements

18

Phylloides tumour Rx

WLE

19

DCIS clinical

Presents as microcalcification on mammogram
Rarely associated with symptoms:
1. lump
2. discharge
3. eczematous change = pagets
4. Ca @ 1%/yr (10x increased risk) in ipsilateral breast

20

DCIS Rx

WLE + radiotherapy
Extensive of multifocal - masectomy + reconstruction + reconstruction + SNB

21

Pagets Clinical

Unilateral, scaly, erythematous, itchy +/- palpable mass (invasive carcinoma

22

Pagets Rx

Usually underlying invasive or DCIS breast cancer
Mastectomy + radio ± chemo

23

LCIS

Incidental biopsy finding (no calcification)
Often bilat (20-40%)
Young women
Incerased risk of Ca (x10) in both breasts

24

LCIS Rx

Bilateral prophylactic mastectomy or close watching with mammographic screening

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