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Flashcards in Mamms Deck (55):
1

Is nipple enhancement on contrast MRI normal?

Yes

2

What rib space does the nipple usually overlie?

4th

3

What is the axillary extension of the breast tissue called?

Tail of spence

4

Where do breast cancers most commonly start? Quadrent?

Upper Outter

5

What hold the breast up

Coopers Ligiments

6

Asymmetric breast should bring up what pathology?

Invasive Lobular breast CA

7

Dilated portion of the "Major duct" is called what?

Lactiferous sinus

8

60% of the blood flow to the breast is from where?

Internal Mammary

9

97% of lymph drains where? (From the breast)

Axilla

10

Axillary Lymph nodes (Level 1, Level 2, Level 3, Rotter) are located where? (Mamms)

Direction of flow 1 , 2, 3.
1: Lateral to Pec Minor
2: Under Pec Minor
3: Medial and superior to pec minor
Rotter: Between Pec minor and major

11

Mets to the internal mammary nodes from breast CA usually from CA located where?

Medial Breast. Very bad.

12

Sternalis is seen where and on which view? Usually unilateral or bilateral?

Only on CC next to the sternum. Unilateral

13

Most common location of ectopic breast tissue

Axilla

14

Second most common location for ectopic breast tissue

Inframammary fold

15

Ductal elongation and proliferation is from what hormone?

Estrogen

16

Lobule proliferation is from what hormone?

Progesterone

17

Best time to have Mammo (relative to phase of cycle?)

Follicular phase 7-14 days

18

Beast time to have breast MRI? (relative to phase of cycle?)

Follicular phase 7-14 days

19

Most cancers start in the breast in what structure?

TDLU

20

When is breast tenderness maxed in the cycle?

27-30 day

21

Peak time (in years) for breast pain and cyst formation?

Perimenopause (50s)

22

What will happen to fibroadenomas in menopause?

Will degerate with popcorn calcifications

23

Secretory calcifications will develop when?

10-20 years post menopause (Rod Like)

24

When is breast density the most in pregnancy?

Third Trimester

25

What can increase breast density bilaterally besides pregnancy?

Prolactinoma or medications (antipsychotics)

26

Can you biopsy a lactating breast?

Yes but may cause milk fistula

27

What is aunt minnie look for a galactocele?

Fat fluid level

28

What can happen to fibroadenomas with a patient on ERT

They can grow, FAs love to drink estrogen

29

Describe the look of lactating adenoma

Like Fibroadenomas. Usually Multiple. 4-6 post partum follow up. Usually regress after cessation of lactation.

30

How often do you have to do processor quality contorl?

Daily

31

How often do you have to do phantom images?

weekly

32

How often do you have to do screen film contact?

semiannually

33

How often do you have to do the visual checklist?

Monthly

34

What is the size for stage I breast cancer?

< 2 cm

35

What is the size for Stage IIa

<5 cm but > 2cm with no nodes

36

What is the size for Stage IIb

<5 but >2cm with mets to ipsilater nodes OR >5 with no nodes

37

What is papillary carcinoma's appearance on ultrasound?

Complex cystic mass

38

When do you need to use an LMO view?

Pectus, Kyphosis or to avoid a medial pacemaker lead

39

How can you describe a shape of a mass on mammography?

Round, oval, irregular

40

How can you describe the margin of a mass on mammo?

Circumscribed, obscured, microlobulated, indistinct, spiculated (COMIS)

41

How can you describe density of a mass on mammo?

fat, hypo, iso, or hyper

42

What is a mammo asymmetry?

Only seen in 1 view

43

What is a mammo global asymmetry?

greater volume of breast tissue

44

what is a mammo focal asymmetry?

two projections

45

What is a mammo developing asymmetry?

Wasn't there before

46

How do you describe the margin of a mass on ultrasound for mamms?

Circumscribed, indistinct, angular, microlobulated, spiculated

47

What is the "foci" size for mamms MR?

< 5mm

48

What is the mass size for mamms MR?

>5mm

49

How can you describe the margin on mamms mr?

circumscribed, irregular, spiculated

50

What are internal enhancement patterns for mamms mr?

homogenous, heterogenous, rim and dark internal septation

51

How can you describe the distribution of NMLE in mamms?

Focal, linear, linear branching, segmental, regional, multiple regional, diffuse

52

How can you describe the internal enhancement for NMLE?

Homogenous, heterogenous, stippled, clumped, clustered ring

53

DDX for amorphous ca on mamms

Fibrocystic change (most likely)
sclerosing adenosis
columnar cell change
DCIS

54

DDX for course heterogenous calcs on mamms

Fibroadenoma
Papilloma
fibrocystic change
DICS

55

DDX for fine pleomorphic calcifications

DCIS
(Rest less likely)
fibrocystic change
fibroademoma
papilpoma