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22 Cards in this Set
- Front
- Back
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The most common BENIGN tumor of the breast is a ? it is more common during the ? and ? years. It is a firm freely mobile ? located in the ?/? quadrant of the breast, they may or may not be tender and doesn't change during ? cycle. This BENIGN tumor does not increase the risk for ? Tx= ? or ?
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fibroadenoma,
teens and twenty, nodule, upper/outer, menstrual, breast cancer, observe or remove |
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Benign breast cancer is also called ? disease. It often occurs in the productive years before ? The S/S are thickening of normal ? tissue in the early stages and in later stages ?s form and are felt as smooth, well deliniated nodules that are usually located ?
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Fiborcystic,
menopause, breast, cysts, bilaterally, |
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Fibrocystic Disease/benign breast disease has an increase risk for developing into ? cancer. The most common S/S are ? and ? TX= R/O ?, Provera/?, or Tamoxifen/?, may be prescribed.
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breast,
pain, tenderness, malignancy, progesterone, antiestrogen |
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All women can get ? cancer even those with no ? Hx. The most important factors for breast cancer is being a ? and growing ? Women that are Dx'd early have approximately a ?% survival rate.
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breast,
family, woman, older, 99% |
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Breast cancer risk factors: Personal ?, family Hx in a ? degree relative, beginning ? period at an early age and ? at a late age. Never being pregnant, known as ?, first pregnancy after the age of ?, Being ?, excess ? intake.
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Hx, 1st,
menstrual, menopause, nulliparity, 30y.o., overweight, alcohol |
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S/S that should be reported if Breast cancer is suspected: ? or ? anywhere in the breast, Skin ? or ?, Nipple pushed in or ?, Discharge from ?, Any change in ?,?,? of skin. About 50% of breast cancers occur in the upper outer ? Most breast biopsies are ? 1:? are malignant.
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lumps or thickening,
dimpling or puckering, inverted, nipples, shape, texture, color, quadrant, benign, 1:8 |
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The best time to do a self breast exam is about ?-? days after your period starts. Your breasts are not as ? or ? at this time in your monthly cycle.
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3-5 days,
tender or lumpy |
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There are two positions that are best for breast self exams the first is standing with the Arms ?, then on your ?, then over your ? while looking in the mirror inspect for size, symmetry, color, and skin changes. Now raise one are at a time and palpate breast in a ?,?,? motion. The second way is to Lie in a ? postion use with one hand behind your head and use the flat part of the 1st three ?s to palpate breast in a circular, vertical, or wedge pattern, and compress the ?s to detect any discharge.
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at your side, hips, head,
circular, wedge, horizontal, supine, fingers, nipples |
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The test that is used for screening or diagnosis of a mass is the ? It is recommeded for women ≥ ? yrs old to get an annual ? and anual ? breast exam and to perform SBE on a ? basis.
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Mammogram,
≥40yrs old, mammogram, clinical, monthly |
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For women that are age 29-30 yrs old a mammogram should be performed every ? yrs and SBE should be performed on a ? basis. Why are mammograms not recommended in this group?
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3yrs, Monthly,
Breast tissue is to dense to see a nodule on X-ray. |
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A procedure that may replace standard axillary lymph node dissection that uses blue dye and a radioactive tracers that are injected into the tumor site at the time of the surgery is ? The first(sentinal) node that picks up the dye is ? and biopsied, if the node is negative fewer nodes are removed.
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Sentinal Node Biopsy,
removed |
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Tx options for Breast CA: ?, ? with or without reconstructive surgery, ? and ? The goal is to prevent ? to bone, brain, liver and lungs. The #1 sign of mets is ? pain why ?
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lumpectomy, mastectomy,
radiation, chemotherapy, metastisis, bone, This is caused by bone breakdown from the Ca in the vertebrae |
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With a lumpectomy most studies show that the rate of survival is the same as when ? therapy is used. The advantages are that the pt can keep her ? The disadvantages are that this therapy lasts for ?-? wks, it may change the ? of the skin, and the pt may not be a candidate if the tumor is too ?
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radiation,
breast, 6-7wks, texture, large |
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There are 3 different levels of Mastectomy: The surgery that removes only the breast and nipple is the ? mastectomy. The surgery that removes breast, skin, nipple and most of the axillary lymph nodes is the ? mastectomy. The surgery that removes breast tissue, skin, nipple, axillary and internal lymph nodes and chest muscle is the ? mastectomy.
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simple,
modified, radical |
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Advantages of a mastectomy include: the pt may have a better ? result and they usually do not have to have ?
Disadvantages include the ? is removed and it is ? difficult for the pt. |
cosmetic,
radiation, breast, emotionally |
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Reconstructive surgery uses ?s implanted under the muscle that are gradually filled with fluid to stretch the muscle and skin to allow for a permanent ? to be placed.
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expanders,
implant |
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The breast implant is filled with artificial fluid such as ? or ? that is used to restore the shape of the breast.
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saline,
silicone |
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The breast reconstruction surgery that uses extra abdominal tissue as follows, a pedicle flap allows the tissue to remain attached to its original blood supply while it is tunneled under the skin to its site for breast reconstruction is the ?-? procedure.
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Tram-Flap
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Blocked drainage of the lymphatic system in the arm on the side of the mastectomy is called ? The arm feels ?, skin feels ?, there is less ?, and the pt may have difficulty fitting arm into a sleeve or putting ?s or a ? on.
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lymphedema,
heavy, tight, flexibility, rings, watch |
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The prevention/control of lymphedema includes: There can be no ?s, ?s, or ? draws from the affected arm. Avoid ? by keeping cuticles and hands moist. Use an electric ? for hair removal and ? repellant.
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Blood pressures,
I.V.'s, blood, infection, shaver, insect |
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Lymphedema prevention continued: Avoid ?s and excessive ? Use ? when out in the sun. Avoid tight ?, ? and shoulder ?s
Use a ? sleeve when flying |
burns, heat, sunscreen,
clothing, jewelry, straps, compression |
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Hormone therapy for breast cancer uses the med ? It reduces the level of ? It is used with women who have positive ? receptors. This med stops the growth of breast CA cells that may still be in the body after ? The pt must take ? mg/day for ? yrs.
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Tamoxifen(Novadex),
estrogen, estrogen receptors, surgery, 20mg/day, 5yrs |
