QUESTIONS 2026 FULLY SOLVED GRADED A+
◍ CBE is a check of the breast by who? Answer: Qualified healthcare
professional
◍ ACS recommends women 20 & older perform BSE Answer: Every
month
◍ Women 20-39 should have a CBE how often? Answer: Every 3
years
◍ Women 40 & older should have screen mammo & CBE how often?
Answer: Every year
◍ Thorough clinical exam will: Answer: Locate lumps/suspicious
areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
◍ Medical/family history provides: Answer: Symptoms & risk factors
for breast cancer & benign breast conditions; questions about other
health problems
,◍ Effectiveness & sensitivity of mammogram ------- with age.
Answer: Increases
◍ Average glandular dose of screen-film mammogram with grid
Answer: 0.1-0.2 rad
◍ Biggest risk factor for breast cancer Answer: Gender
◍ High risk factors Answer: Age
Genes-brCA1&2...
Close blood relative
Personal hx breast ca
◍ Moderate risk factors Answer: 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
◍ Minor risk factors Answer: No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
,Alcohol consumption
Obesity
◍ Examples of benign breast disease Answer: Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin
thickening
◍ 2 main classes breast cancer Answer: Ductal
Lobular
◍ Most common breast cancer
90% all cases? Answer: Ductal carcinoma
◍ Stage 0 carcinoma, confined to duct Answer: DCIS
◍ Cancer has spread from ducts into surrounding stromal tissue &
possibly pectoral fascia/ muscle Answer: Invasive/infiltrating Ductal
carcinoma
◍ Lobular carcinoma accounts for --- to ----% all breast cancers
Answer: 5-10
, ◍ Not seen on mammo in 50% cases, abnormal cells grow w/in
lobules not penetrating lobule walls Answer: Lobular carcinoma in
situ
◍ Difficult to perceive on mammo, may show as spider web or cause
skin retraction Answer: Invasive lobular carcinoma
◍ Other breast carcinomas account for less than 10% & have -----
prognosis than infiltrating Ductal/lobular cancers Answer: Better
◍ Single most effective tool in detection breast cancer Answer:
Mammogram
◍ Describe malignant asymmetric density on mammogram Answer:
Speculated/stellate lesion w solid central tumor & radiating structures
◍ Malignant circumscribed lesions Answer: Ill-defined & high
density radiopaque, except few rare are low density
◍ Ductal ca+ Answer: Granular or casting type Ca+ & usually appear
in clusters
◍ 2 types mammography screening Answer: Conventional-analog
Digital-w cassette or wo
◍ 2 types digital detectors Answer: Direct