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Basics

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
how many ducts are in the breast   6-10  
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what is a duct composed of   acini and stroma  
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what is the terminal ductal lobular unit   lobule and duct  
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from the promial to distal ducts   terminal => Lactiferous duct => Lactiferous sinus => collecting duct and out the nipple  
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lymphatic drainage in the chest area is split between the axial and intramammary system how?   75% axial and 25% intramammary  
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what is the inner layer of the breast   ductal and lobular layer cuboid shape  
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outer layer of the breast   myoepithelial with spindle shape  
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what happens at puberty   lobular units are developing  
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what happens during a menstral cycle   proliferation of the lobules with vaculozation during the luteal phase after ovulation  
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what happens to the lobule during pregnancy   pronounced lobules with incresed vaculization with distended lumens  
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what happens to the lumen post menopause   lobar atrophy and incresed fat  
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what are the three ways to scan the breast   Physical exam, Mammography, Biopsy  
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what can you see with mammography   mass, microcalcifications (also in benign), assymetry  
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what can you see with biopsy   invasive vs. non-invasive  
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Can biopsy be therapeutic   yes if it is excisional but may need surgery and or radiation  
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what is the most common malignancy   breast cancer  
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what is the number 2 cause of cancer death in women   breastcancer  
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what is the median age to get cancer   50  
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Risk factors of breast cancer   family, genetics, hormones, radiation, proliferative disesae, dietary fat  
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what percent of breast cancers are inherited   5%  
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what percent of inherited breast cancers are BRCA1 and 2   70%  
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how do hormones play a role in the development of breast cancer   early menarche, late menopause, late age of 1st pregnancy  
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how long is the latent period of radiation   10-15 years  
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what are the proliferative breast disseases   Fibrocystic change, ductal hyperplasia and radial scar  
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where are most mets and spreads   spread to axial, internal mammary, and supraclavicular nodes  
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where are some common distal sites of spreading breast cancer   skeletal muscles, lungs, CNS  
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what is the prognosis of breast cancer based on   TMN  
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