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25 Cards in this Set
- Front
- Back
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What are coopers ligaments?
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Fibrous tissue that provide support for breasts
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What are montgomery glands?
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Glands that secrete milk
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What nerves are involved in the breast & what do they innvervate?
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Intercostobrachial(sensory of upper arm), thoracodorsal(lats), long thoracic(scapula)
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Rotter notes are?
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Found in b/t the pec minor & major muscles
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What does oxytocin do?
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Regulates secretion of breast milk
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What is ductal carcinoma in situ?
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Proliferation of cells at the basement membrane of the ductal-lobar system
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Palpable breast mass on PE, what is the next step?
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FNA
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Nonpalpable breast mass found on mammogram, next step?
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Stereotactic guided bx
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Nonpalpable breast mass found on U/S, what is the next step?
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U/S guided core bx
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M/c invasive breast cancer
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Ductal
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M/c benign breast mass
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Fibroadenoma
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What are the 2 views of a mammogram?
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craniocaudal, mediolateral oblique
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M/c/c of bloody nipple d/c
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papilloma
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Tx for papilloma
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cannulate duct & exploration
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Cystic breast lesions are common w/?
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Hormone levels(they tend to grow right before menses, they are also tender)
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Rock hard lump on breast exam after breast trauma?
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Fat necrosis
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What is dx of fat necrosis in the breast after bx?
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Macrophages
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Classification of breast cancer T:
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1: <2cm
2: 2-5cm 3: >5cm 4: LABC |
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Classification of breast cancer N:
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Nx: unable to asses
N0: no regional mets N1: movable axillary N2: fixed axillary N3: infraclavicular nodes |
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Classification of breast cancer M:
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M0: no distant mets
M1: distant mets |
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What is the most important factor in determining breast cancer prognosis?
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Lymph node involvement
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What is given as adjuvant therapy for pts that express the HER2 gene?
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Herceptin
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What is given as adjuvant therapy for cancer that expresses endocrine hormones?
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Tamoxifen, raloxifene
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How does Tamoxifen work?
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Binds to estrogen receptors as an agonist or antagonist, decr breast epithelial proliferation
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MRI is useful for what type of pts?
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BRCA, lobular carcinoma, highly dense tissue seen on mammogram
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