Help
Options
Term
fibroadenoma dif
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Term
fibroadenoma px
Remaining cards (42)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
breast
usmle breast cancer
| Term | Definition |
|---|---|
| fibroadenoma dif | most common benign breast tumor in women under 30 |
| fibroadenoma px | painless mass, well defined, rubbery, mobile, hormone dependent, firm |
| fibroadenoma dx | 1st sonography , FNA , biopsy |
| fibroadenoma tx | conservation, excision if 2-3 cm and rapidly growing on serial US |
| giant juvenile fibroadenoma dif | prepubretal or young girl |
| giant juvenile fibroadenoma px | breast mass getting bigger , well defined, rubbery, mobile, hormone dependent, firm . may destort devolpment of the breast |
| giant juvenile fibroadenoma dx | 1st sonography , FNA |
| giant juvenile fibroadenoma tx | always surgery excision |
| intraductal papiloma dif | most common of case bloody discharge from nipple |
| intraductal papiloma dx | mamography to rule out breast cancer |
| intraductal papiloma tx | surgical excision of involved duct |
| breast abscess dif | most common in woman post partum or breast feeding, pt may have been diagnosed with mastits |
| breast abscess px | unilateral localized pain, tenderness, eryhtema, subareolar mass, nipple discharge, nipple inversion, LAN, systemic symptoms of infection |
| breast abscess dx | sonography |
| breast abscess tx | surgical drinage, biopsy of the wall, culture the pus anti staph ABS ( nafcillin, oxicillin) |
| breast cysts dif | common breast masses can be from various causes, usally painless |
| breast cysts to confirm | songraphy |
| breast cysts dx/tx | 1st step - needle drainage if clear fluid or greenish SIMPLE CYST, benign no further steps. if fluid milky GALACTOCELE , benign no further steps. if fluid bloody MALIGNANT should be excision if the cyst continues recur even its benign excision |
| mammary duct ectasia dif | obstruction of a subareolar dusct leading to duct dilation, inflamation, and fibrosis |
| mammary duct ectasia px | breast pain, nipple retracion, subalveolar mass, sticky discharge, |
| mammary duct ectasia dx | mamography |
| mammary duct ectasia tx | surgery |
| breast cancer risk factor | femail, age >40, hx of BC, 1st degree relative w/ BC, nulliparty, 1st pregnancy >30, menrache <12, menopause >55, radiation, >5 years HRT |
| breast cancer genitic | BRCA 1/2, li-fraumeni syndrome p53 |
| breast cancer for whom we do gentic screening | pt diagnosed with breast and ovarian canver. strong Fx of breast/ovarian cancer. Fx of male breast cancer. young pt (<35years) |
| breast cancer when suspect ? | usually painless, breast mass, ill defined mass, FIXED mass, skin changes ( orange peeling, dimpling, erythema), nipple retraction,axilary LAN |
| ductal carcinoma in situ tx | * lumpectomy + radiation ( reccurence 5-10%) * modified radical mastectomy ( reccurence <1%) |
| lobular carcinoma in situ dif | most common to find incidentaly, marker for increase of invasive cancer in either breast |
| lobular carcinoma in situ tx | *1 qd observation, * lumpectomy + radiation ( reccurence 5-10%) * modified radical mastectomy ( reccurence <1%) *prophylactic bilateral mastectomy |
| infiltrating ductal carcinoma dif | most common breast cancer 80% |
| infiltrating ductal carcinoma tx | surgery : * lumpectomy and senetile node biopsy + radiation. * modified radical mastectomy . *radical mastectomy if inavion of pec major chemotherapy : *CAF,CMF hormone therapy( if tumor is ER/PR+) *estrogen inhibitor ( tamoxifien, raloxifien) |
| infiltrating lobular carcinoma dif | strong tendency toward bilaterlity |
| infiltrating lobular carcinoma tx | surgery : * lumpectomy and senetile node biopsy + radiation. * modified radical mastectomy . *radical mastectomy if inavion of pec major chemotherapy : *CAF,CMF hormone therapy( if tumor is ER/PR+) *estrogen inhibitor ( tamoxifien, raloxifien) |
| positive anti-her 2/neu | trastuzumab |
| postive ER or RR | tamoxifen, rolaxifen |
| lumbectomy contraindication | cancer is multifocal or radiation is contraindication |
| adjuvant chemotherapy is the answer when | lesions >1cm, postive axillary lymph nodes |
| when sentinel lymph node biopsy the answer? | routinely in all pts at the time of lumpectomy or mastectomy |
| when PET scan the answer ? | content of abnormal lymph nodes that are note easy accessible to biopsy |
| when ultrasound the answer ? | indetrminant mass lesion, cysts VS solid lesions ... painful , varies in size or pain with menstruation |
| FNA | best initial biopsy |
| open biopsy | most accurate diagnostic |
| core needle biopsy | larger sample, more deforming, can test ER, PR, HER 2/neu |
Created by:
Drsakhnini