Test 3 Flashcards Preview

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Flashcards in Test 3 Deck (27):
1

Fibroadenoma

Mass that is unattached to surrounding tissue

2

Fibroadenoma examination

Oval, freely moveable, and rubbery. 1-15cm

3

Fibrocystic breast condition

Painful tender lumps, rubbery, Ill defined, upper quadrant of breast.
Onset late teens, subsides after menopause

4

Fibrocystic breast condition cause

Imbalance in normal estrogen to progesterone ratio.

5

Gynecomastia

Symptom rather than a disease
Can be the result of primary cancer-lung or testicular cancer

6

Causes of gynecomastia

Anti-androgens, corticosteroids
Aging
Obesity
Estrogen excess
Androgen deficiency
Breast cancer

7

When to do a breast exam

Premenopausal - 1 week after cycle
Postmenopausal- anytime

8

Noninvasive breast cancer
(20% of them)

Ductal carcinoma. In-situ. Have not invaded any surrounding tissue
Lobular carcinoma- rare

9

Invasive
80%

Infiltrating ductal carcinoma

Inflammatory breast cancer

10

Infiltrating ductal carcinoma

Originates in mammary ducts
Most common

11

Inflammmatory breast cancer

Most aggressive.
Redness, swelling, pain

12

Coopers ligaments

Fibrosis of the tissue causes shortening of these ligaments, which causes skin dimpling- advanced disease

13

Peau d' orange

Edematous thickening of the skin and pitting of breast skin

14

Breast cancer complications

Invasion of the lymph channnels, causing skin edmea
Metz to lymph nodes
Bone, lungs, brain, liver- sites to Metz
Ulceration of overlying skin

15

Male breast cancer

Rare, fewer than 1% of cases
Average age of onset is 68 years
Hard, painless

16

Mammograms not recommended

Average risk, under 40 years

17

Modified radical mastectomy

Breast tissue, nipple and lymph nodes removed, muscles left intact

18

Simple mastectomy

Breast tissue and usually nipple removed, lymph nodes intact

19

Lumpectomy with lymph node dissection

Only tumor nodes are removed

20

Mastectomy excercise

Hand wall climbing
Pulley excersize
Rope turning

21

Age of menopause is

51

22

Adjuvant therapy

Radiation/ drug therapy

23

Decision to use adjuvant therapy after surgery depends on

Stage
Age and menopausal status
Patient preference
Pathological examination
Hormone receptor status
Genetic

24

Chemotherapy
Herceptin

Standard of care for women with node-positive cancer or with tumor larger than 1 cm

25

Herceptin

Chemo- cardiac affects

26

Hormonal therapy purpose

Reduce estrogen available to breast tumors

27

Tamoxifen

Blocks estrogen receptors and this limits cancer cell growth