TEST #3 Breast Flashcards

(41 cards)

1
Q

What are the common symptoms of Breast disease?

A
  • Pain
  • Palpable masses
  • Nipple discharge
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2
Q

When do you start screening women with mammography and why?

A

-around 40 yrs old because younger women have denser breast tissue making it difficult to identify a mass

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3
Q

What can acute mastitis cause?

A

-Breast abscesses and necrosis

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4
Q

Who is acute mastitis typically associated with?

A

-Women who are breast feeding

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5
Q

What can cause acute mastitis?

A

-Plugged ducts and can be infectious or non-infectous

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6
Q

What is fat necrosis usually associated with?

A

-Trauma from a seat belt during an accident

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7
Q

What are some breast diseases that can mimic cancer?

A
  • Acute mastitis
  • Fat necrosis
  • Breast cysts
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8
Q

What do mammographies detect?

A

-Density

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9
Q

Mammograms can show _______ distortions and identifies _______?

A
  • Architectural

- Calcification

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10
Q

What percent of breast cancers that are not detected by mammography can be detected by palpitation?

A

10%

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11
Q

T/F mammograms are 85-90% predictive

A

True

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12
Q

What are fibrocystic changes seen in breast cysts?

A
  • Fibrosis
  • Cysts
  • Palpable changes that can make detection of breast cancer difficult
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13
Q

T/f You have a higher risk of breast cancer in the aggressively proliferative breast cysts

A

True

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14
Q

What age do breast cysts usually occur?

A

20-40 yrs

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15
Q

T/F Breast cysts typically occur after menopause

A

False

-Do not typically occur after menopause

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16
Q

What are the most common benign breast neoplasms?

A

-Fibroadenomas

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17
Q

Fibroadenomas are not typically removed unless what?

A

-They are uncomfortable

18
Q

T/F Breast carcinomas are common before age 25

A

False

-They rarely occur before 25

19
Q

What type of societies do you see most breast carcinomas?

A

-Affluent societies with no regard of race suggesting that it is mostly caused by the environment

20
Q

Bye the age of 70 yrs old what is the incidence of breast carcinoma?

21
Q

What is the fatality of breast carcinomas?

22
Q

What percent of Breast carcinomas are inherited?

23
Q

What are the most common inherited genes correlated with breast carcinomas?

A

-BRCA 1 and 2 (Single strong gene factor)

24
Q

What is the familial tendency risk for breast carcinomas?

25
What does family tendency mean for breast carcinomas?
Not a single strong gene but a pattern of occurrence in family
26
What percent of breast carcinomas are sporadic?
70-80%
27
How many cases of new breast cancers in U.S/yr?
-250000
28
What are environmental factors that can lead to a higher risk of breast cancers?
- Diet high in animal fat - Obesity - Delayed first pregnancy
29
What are they symptoms of breast cancers?
- Pain - Masses - Swollen pitted surface and enlarged axillary lymph nodes
30
What is a pitted surface in breast cancer known as?
Peau d'orange
31
How are masses in breast cancer assessed?
- Palpitation - Mammography - Ultrasound - MRI - Tissue biopsy
32
What is the prognosis of breast cancer based on?
- Size - Axillary node status - Distant metastasis
33
If you have stage 0 (early stage) breast cancer what is your 5 yr survival rate?
-92%
34
If you have stage IV (late stage) Breast cancer what is your 5 yr survival rate?
-13%
35
If the tumor expresses estrogen/progesterone receptors, it often responds to what type of treatment?
-Hormonal
36
What is the most common type of breast cancer?
-Invasive carcinoma (75-85%)
37
T/F Most types of breast cancer are adenocarcinomas
True
38
Where do the adenocarcinomas in breast cancer originate from?
-Epithelial cells in the terminal ducts
39
What do you do to remove smaller breast cancer masses?
-Lumpectomies
40
What percent of women have microscopic cysts associated with epithelial tissue?
60%
41
In benign epithelial lesions associated with the breast what type of changes do you typically see?
-Fibrotic changes