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WEEK 23:

BREAST CANCER PLENARY:

QuestionAnswer
limitations of mammogram subjective lack of consistency in positioning missing cancers in periphery if exposure not adequate dense breast can be uncomfortable
MDT roles in this case breast surgeon oncologist pathologist radiologist cancer nurse specialists mammographers plastic surgeons MDT coordinator research nurses
how to break bad news setting (quiet room with privacy no distractions) assess patients perception (before you tell ask) warning shots to lessen shock address patients emotions with empathy offer contact number of key worker offer follow up consultation
surgery options breast conservation surgery (wide local excision with oncoplastic procedures) or mastectomy (with or without reconstruction) with reconstruction being immediate or delayed
stages 0,1,2 (first stage of staging TNM) early stage (cancer not beyond breast and regional LNs)
stage 3 (2nd stage of staging TNM) locally advanced breast cancer, inflammatory breast cancer
last stage of staging TNM advanced breast cancer
stages of staging TNM early stage locally advanced advanced
prognostic is based on/ scored using nottingham prognostic index
endocrine treatment types first line and second line
first line endocrine treatment SERM (selective estrogen receptor modulator) eg tamoxifen and raloxifene Aromatase inhibitors eg letrozole, anastrozole, and exemestane
second line endocrine treatment SERM everolimus (PI3K/AKTmTOR pathway down regulator) Palbociclib, ribociclib (CDK4/ 6 inhibitors)
examples of anti HER2 treatment trastuzumab (herceptin) and pertuzumab (anything ending in MAB/ nib)
breast cancer treatment depends on locoregional recurrence or distant metastasis
Created by: kablooey
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