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What breast disease is painful, bilaterally mobile nodular masses, sensitive
breasts that are benign?
Common age?
Treatment? - ANSWER Fibrocystic breast changes
30-50
Reassure that it is Benign Symptomatic relief
-- tylenol/nsaids reduce caffeine
Breast disease that is common benign neoplasm usually in
young women? **Round, firm, nontender, movable
How to confirm diagnosis?
Treatment? - ANSWER Fibroadenoma of breast disease
Core biopsy or excision if patient is symptomatic or wishes the
mass to be excised
local excision of mass with a margin around the normal tissue
What is a benign condition of breast that produces mass accompanied by
skin or nipple retraction? - ANSWER Fat necrosis
What breast condition occurs from breast feeding/lactation and
has area of redness, tenderness and induration?
Will it go away on its own? - ANSWER Breast Abscess
Will go away on its own with more breastfeeding and abx, but it
not needs to be drained
,What breast condition is unilateral, nontender, firm to hard mass
with ill defined margins? - ANSWER Carcinoma of breast
Carcinoma of breast is the main cause of death for women ages
? - ANSWER 40-59 years old
What system is used for clinical staging? - ANSWER TNM
(tumor size, how many nodes/where, metastasis)
What part is the single most significant prognostic feature of
breast cancer? - ANSWER lymph node involvement
Very small (1-2 mm erosions) of nipple epithelium may be only
manifestation of ? - ANSWER Paget's carcinoma
What are some s/s of advanced carcinoma of breast? -
ANSWER edema
redness ulceration of skin
large tumor retraction of
breast axilla
lymphadenopathy
distant metastases
What kind of breast cancer is eczematoid eruption and ulcertation, arises
from nipple, spread to areolla? - ANSWER Paget's disease
What are some symptoms of paget's disease? - ANSWER pain,
itching, buring, ulceration
What is an aggressive form of breast cancer with diffuse, brawny
edema of skin? - ANSWER inflammatory carcinoma
How to diagnose inflammatory carcinoma? - ANSWER tumor
pathology in dermal lymphatics through biopsy
If suspected skin infection does not rapidly respond in
, _________ then a biopsy needs to be performed - ANSWER 1-2 weeks
What tests are required when nipple discharge or cyst fluid is bloody or
cytologically equivocal? - ANSWER Mammogram and
Biopsy
What is the single best screening for early detection of BC? -
ANSWER Mammography
What age do you start mammogram for screnning? - ANSWER
40 years old
Women with genetics to breast cancer should be screened using
MRI starting at age? - ANSWER 25
What are the 2 major breast cancer predisposition genes? -
ANSWER BRCA 1
BRCA 2
What are other possible cancers you can get if you have BRCA 1
and BRCA 2? - ANSWER ovarian, colon, prostate, pancreatic
What is a radial mastectomy? - ANSWER removal of entire
breast, muscle layer, axilla nodes
What is a modified radical mastectomy? - ANSWER Removal of
breast and some muscle, selected of nodes
What is breast conservative therapy? - ANSWER lumpectomy partial
mastectomy
axillary evaluation
What is the single most reliable indicator of breast cancer? -
ANSWER staging