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19 Cards in this Set
- Front
- Back
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the best time for examination is immediately after the ______
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the best time for examination is immediately after the period
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The difference in the male breast versus the female breast is the absence of _______.
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The difference in the male breast versus the female breast is the absence of lobules.
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After menopause the breast glands are replaced by ___.
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After menopause the breast glands are replaced by fat.
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List of benign breast disease
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Fibroadenoma
Fibrocystic Change Intraductal Papilloma Phylloides Tumor Mastitis Breast Abscess Lactocele |
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What disease?
Most common in the 2nd and 3rd decades May resolve spontaneously Due to a proliferation of the stroma and epithelial elements Surgical excision is curative |
Fibroadenoma
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What disease?
Proliferation of ductal epithelium Spectrum of changes from benign hyperplasia to atypical ductal hyperplasia Probably a normal evolution of the female breast from puberty to menopause Menopause is curative |
Fibrocystic Change
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Most common changes that can masquerade as malignancy on mammograms
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Fibrocystic Change
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Most common cause of bloody nipple discharge
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Intraductal Papilloma
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usual site of Intraductal Papilloma
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larger collecting ducts
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Papillomatosis is a marker for higher risk of ____________
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Papillomatosis is a marker for higher risk of carcinoma
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Tx of Phylloides Tumor
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Most are benign and only require excision
More proliferative lesions behave like sarcomas and require more aggressive surgery |
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Proper term is mastodynia
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Mastitis
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Incr risk of carcinoma with mastitis?
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no
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Incidence of breast CA
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1 in 8
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Risk factors for breast CA
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1. Increasing age (>4x)
2. Family history, in 1st degree relative (2-4x) 3. Premenopausal breast cancer (>4x) 4. Atypical ductal or lobular hyperplasia (4x) 5. Lobular carcinoma in situ (10x) 6. Ductal carcinoma in situ (10x) |
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What type of breast tumor?
tumor cells are small and form linear, single files |
invasive lobular carcinoma
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Who's theory?
Breast cancer progressively spreads from the breast to the axillary and regional nodes, then spreads to other organs |
Halstead’s Theory
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The goal of Surgery in cases of Breast Cancer is ______________.
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The goal of Surgery in cases of Breast Cancer is local control.
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The first node that the tumor spreads to in the regional basin is termed the ________ Lymph Node
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The first node that the tumor spreads to in the regional basin is termed the Sentinel Lymph Node
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