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1. What is a breast fibroadenoma? - ANSWER A benign neoplasm
commonly found 20 years after puberty but potential earlier in African
American women.
2. Symptoms of a fibroadenoma - ANSWER 1. Round, rubbery, mobile,
non-tender mass approx. 1-5cm
If size is 3-5 cm, needs to be excised.
3. Treatment of Fibroadenoma - ANSWER If >30yrs old, r/o carcinoma via
cyst aspiration & core needle bx or u/s
May not require treatment
4. Phyllodes Tumor facts - ANSWER 1. Fast-growing, leaf pattern, benign
growth of actual breast tissue.
2. Recommendations: excision
5. Symptoms of duct ectasia - ANSWER 1. discharge is serous or milky
,2. Can affect multiple ducts
3. tenderness
6. Symptoms of intraductal papilloma - ANSWER serous or bloody discharge,
pain, local lumps
7. Symptoms of nipple carcinoma - ANSWER Bloody nipple discharge
8. Causes of duct ectasia - ANSWER *Pre-menopause/pre-menses/on
hormones
9. Test to identify nipple discharge - ANSWER Ductogram (limited)
mammogram (dye-injected)
10. What is hyperprolactinemia? - ANSWER High levels of prolactin in the
blood. Prolactin is produced in the pituitary gland. A benign pituitary tumor can
cause hyperprolactinemia.
11. What diagnostic tests identify hyperprolactinemia? - ANSWER TSH, serum
prolactin level
12. Symptoms of fat necrosis of breast - ANSWER 1. A mass with or without
nipple retraction following trauma, fat injection for augmentation, segmental
resection, radiation, or flap reconstruction after mastectomy.
*may need a core needle bx*
,13. Symptoms of a breast abscess - ANSWER 1. purulent nipple discharge
2. breast tenderness or redness
14. What bacteria causes mastitis? (most common) - ANSWER staph aureus
15. What needs to be done for a non-lactating women experiencing breast
inflammation? - ANSWER R/O carcinoma with u/s
May require I&D with excision of affected duct
*If implants- could me capsular contraction
16. Risk factors for breast carcinoma - ANSWER babies after 30 yrs old or
nulliparity
family hx
abnormal mammogram
age >60yr
early menses <12yr
17. Symptoms of breast carcinoma - ANSWER nipple retraction
axillary lymphadenopathy
edema
redness
chest mass
, dimpling
hypercalcemia
clustered pleomorphic microcalcifications
18. When do mammograms start? - ANSWER Age 40y - get every 1-2 years;
stop at approx 74 yrs old
19. How do you stage breast cancer? - ANSWER Tumor
Nodes
Metastases
20. 5 P's of sex information - ANSWER Partners
Practices
Protection
Past hx of STI
Pregnancy intention
What age do you screen for chlamydia & gonorrhea? - ANSWER Age 25
What age do you screen for HIV? - ANSWER Age 15-65y
When do we screen for syphillis? - ANSWER When patient is high risk