Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
Only certain diagnosis to rule out breast cancer
|
Pathology
|
|
|
Mammogram were invented to detect the potential cancer of breast too small to diagnose with cancer of breast.
|
True
|
|
|
Mamograms can be done in pregnant women (T,F)
|
T
|
|
|
18 y old with firm rubbery mass
Next step: |
Fibroadenoma
Do sonogram or FNA shows its fibroadenoma |
|
|
14 y old firm rubbery movable rubbery mass seems to grow 6 cm in diameter
|
Giant juvenile fibroadenoma
Sonogram would conform Recommend removal if keeps on growing |
|
|
27 y old mexico immigrant 12 by 10 cm mass for 6 y firm rubbery movable not attached to skin
|
cystosarcoma phylloides
Late 20's,long history.bening tumor with maligant potential Tissue diagnosis is needed b/c FNA is not enough |
|
|
35 Y old 10y history of tenderness related to menstrual cycle at different times. Firm round 2cm that has not gone away for 6 weeks
|
Intially the discription is for fibrocystic disease:lumps come and go.
However the second part states firm round mass for 6 weeks, probably a cyst but could be a cancer. next step: mamogram Next step: Aspiration of cyst(fluid out) retreive clear fluid mass goes away we are done. If bloody fluid is apirated: send to pathology. If aspirated the cyst come back tissue |
|
|
34 y old bloody dis from R nipple on and off no palpable mass
|
Intraductal papilloma: most likely
could be carcinoma Next step: mamogram |
|
|
26 Y old lactating mother has crackles in nipple,red hot nipple mass with fever and leukocytosis
|
only lactating are entitled to get abscess of breast but not regular women.
|
|
|
49 Y old firm 2cm mass in R breast present at 3 months
|
1.Mammogram
2.Tissue sample (incisional biopsy) |
|
|
38 y old with pregnancy 3 cm ill defined mass in R breast for 3 years
|
1.mamogram
2.Tissue sample 3.only limitation on preganant lady we cannont give me chemo in 1st trimester and no radiation. |
|
|
69 Y old 4cm hard mass,ill defined and movable mass and firm and organge peel and retraction
|
cancer
|
|
|
72 Y red, orange breast swollen,no fever, no leukocytosis
|
classical presentation of cancer of breast, inflammatory cancer of breast.
|
|
|
62 Y old, exematoid lesion in aeriola and inflitration tissue under aerola
|
cancer
|
|
|
42 y old hits her breast with broom handle and notice the lump and 3cm mass deep in her breast.
|
Hx trauma does not exclude the breast cancer. so be careful
|
|
|
58 Y old w mass in R axilla, discrete hard mass.
|
Metatastic breast cancer
|
|
|
60 Y old women with routine screening mammogram, irregular area of inc density with fine calcification
|
irregular density and fine microcalcification and wasn't there 2 years ago.
|
|
|
44 y 2cm palable mass UOQ shows infiltrating ductal carcinoma. Mass is freely movable and no palpable upper axillary node.
|
Cancer is small in large breast: lumpectomy and axillary sample along with radiation post op.
2. If mass is big and breast is small: modified radical mastectomy and axillary sample |
|
|
62 Y old female 4 cm hard mass under nipple and aeriola, larger mass in smaller breast.
|
cancer
|
|
|
44 y old 2 cm palpable UOQ of R breast
|
lobular mass
|
|
|
2 variants
Inflammatory cancer: Radiation and Chemotherapy before surgery All other cancer:(lobular and medullary)surgery and than radiation |
Lobular has higher incidence of bilaterality
|
|
|
52 y old multiple core biopsy ductal carcinoma insitu
|
Primary tumor:standard recommendation simple total mastectomy is radical approach 100 percent cure.
Tendency more conserative: lumpectomy inflitrating ductal carcinoma f/u with radiation therapy |
|
|
37 y old 3 cm infiltrating ductal carcinoma is proof that lady has systemic disease.
|
systemic treatment
Rule: any positive axillary node needs systemic therapy premenopausal: chemo post: tamoxifen distant mets are already there: chemo |
