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14 Cards in this Set

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HYQ: what is the most likely cause of bloody nipple discharge?
Intraductal papiloma (benign)
Most common breast cancer
Invasive ductal
Breast cancer that often presents with serous or bloody nipple discharge
Intraductal papiloma
Most common mass in pts 35-50
Fibrocystic change of the breast
Most common breast tumor in teen and young women?
Fibroadenoma
Breast mass accompanied by redness, pain, and heat?
Inflammatory carcinoma
What are the risk factors for
Endometrial cancer, Ovarian cancer?
Endometrial: Estrogen exposure, obesity, nulliparity, age, DM

Ovarian: Ovulation, BRCA1, BRCA 2
What marker may be elevated in endometrial cancer? Ovarian cancer?
Both may have elevated CA125. It is classically a/w ovarian CA
What is the next step in the mgmt of a CIN-2 cervical lesion on biopsy?
Colposcopy and excision with LEEP, cone, or laser
What is the next step in the mgmt of a ASCUS pap smear?
repeat pap @ 6mo
What is the next step in the mgmt of AGUS pap smear?
biopsy with curretage
What type of ovarian tumor is a/w
psammoma bodies?
Estrogen excess?
Androgen Secretion?
Psammomma: Serous cyst adenocarcinoma
Estrogen: Granulosa/ Theca cell
Androgen: sertoli leydig
What is the tx for ductal carcinoma in situ?
Lumpectomy
What is the treatment for lobular carcinoma in situ?
close obs, tamoxifen or raloxifene