PDCI Breast

Question 0

Usually don’t see cancer, but _____ in what age group?

Answer 0

Fibroadenoma

15-25

Question 1

Common breast complaints

Answer 1

Lump / mass
Pain / discomfort
Nipple discharge

Question 2

3 lymph node chains

Answer 2

Axillary
Supraclavicular
Internal Mammary

Question 3

Describe fibroadenomas

Answer 3

Like nose

Question 4

Describe cyst

Answer 4

Fluid filled

Like puffed up cheek

Question 5

Describe tumors

Answer 5

Fixed to tissue

Like forehead

Question 6

What does 3-3-3 mean?

Answer 6

At least 3 min per breast
3 middle fingers
3 types of pressure (light, medium, deep)

Question 7

Preferred pattern

Answer 7

Vertical strip

Question 8

Warning signs of breast cancer (8)

Answer 8

Change size or shape
Redness around nipple
Discharge
Swelling in armpit or collarbone
Lump
Change skin texture (orange)
Inverted nipple or change position/shape
Constant pain breast or armpit

Question 9

Polythelia

Answer 9

Extra nipple

Usually on milk line

Question 10

Polymastia

Answer 10

More than 2 breasts

Question 11

Incidence of breast cancer in men (incr, decr, same?)

Answer 11

Increasing

Question 12

Deaths of breast cancer in males (incr, decr, same?)

Answer 12

Same

Question 13

Woman’s lifetime probability of developing breast cancer

Answer 13

1:8

Question 14

Average age of diagnosis for breast cancer

Answer 14

61

Question 15

Lifetime risk of breast cancer for males

Answer 15

1:1000

Question 16

Highest incidence of breast cancer in what race?

Answer 16

White

Question 17

Highest deaths from breast cancer based on race

Answer 17

African American

Question 18

Best time to do self breast exam

Answer 18

Few days after menses

Question 19

Fibrocystic breasts

Answer 19

Benign lumps in breast that fluctuate in size during menses

Question 20

What do you do if postive clinical breast exam but negative mammo?

Answer 20

Work up / get second opinion from surgeon

Question 21

Clinical breast exam has high sensitivity or specificity?

Answer 21

Specificity

Question 22

% of breast cancers in terms of location on breast

Answer 22

50% upper outer quadrant (near Axilla)
20% under nipple
10% everywhere else

Question 23

Regular mammogram can detect how small of a tumor?

Answer 23

1/16”

Question 24

Breast cancer can be present for how long before palpable?

Answer 24

5-10 years

Question 25

Negatives of mammograms

Answer 25

5-10% false positive | Less accurate for dense and glandular breasts (so get U/S)

Question 26

When to get mammogram

Answer 26

Def 50+ every year Gray area is 40-49

Question 27

When should high risk patients start mammos?

Answer 27

Age 30-40 then 2-3 yrs until 50 OR 5-10 years earlier than family history

Question 28

Who doesn't get mammos?

Answer 28

Less than HS education No health insurance Recent immigrants

Question 29

What imaging should be used for transplants?

Answer 29

MRI

Question 30

What imaging technique is used for someone who is known to have cancer?

Answer 30

PET scan

Question 31

Best predictor if someone gets a mammo

Answer 31

If doctor suggests it

Question 32

#1 breast cancer risk factor

Answer 32

Being female

Question 33

Modifiable risk factors

Answer 33

``` Having kids Ocp Hormone therapy Breast feeding (>2 years) Alcohol Weight Physical activity ```

Question 34

Non modifiable risk factors

Answer 34

``` Gender Age Genes Personal brca hx Race Dense breast tissue Menstrual period ```

Question 35

What are the 3 stages, and which one has the best survival rate?

Answer 35

Local* Regional Distant