Shared Flashcard Set

Details

surgery
breast surgery
37
Medical
Graduate
04/20/2011

Additional Medical Flashcards

 


 

Cards

Term
what suspends the breast on the chest wall
Definition
coopers ligament
Term
where does venous drainage occur
Definition
via axillary, subclavian & intercostal veins
Term
where does lymph drainage from the breast go
Definition
axillary nodes (75%)
Term
how does lymph drainage flow
Definition
bottom to the top
Term
lowest node draining the cancer
Definition
sentinel node
Term
what causes proliferation of the ductal system
Definition
preovulatory estrogen
Term
in post menopause what is the breast parenchyma replaced by
Definition
adipose tissue
Term
MC tumor in young women
Definition
fibroadenomas
Term
MCC of bloody nipple d/c
Definition
intraductal papillomas
Term
what are the benign breast lesions
Definition
-simple cysts
-fibroadenomas
-papillomas
-fibrocystic diseas
-galactocele
-breast abscess/mastitis
Term
premenstrual cyclic breast pain, tenderness, nodularity are all characteristics of
Definition
fibrocystic changes
Term
on mammo: bilateral symmetric diffuse OR focal radiologically dense tissue
Definition
fibrocystic changes
Term
normal ovarian hormones produce
Definition
cyclical mastalgia
Term
noncyclical mastalgia is more likely to be the result of
Definition
nonbreast etiology
Term
marker of increasing risk of developing ductal OR lobular carcinoma
Definition
lobular carcinoma in situ
Term
pre-invasive form of ductal cancer
Definition
DCIS
Term
90% of the invasive breast cancer
Definition
infiltrating ductal carcinoma
Term
what will LCIS become
Definition
DCIS
Term
what do inflammatory carcinomas present with
Definition
peau d'orange
Term
what are the RF's for malignant disease
Definition
-increasing age
-+ fhx of breast/ovarian cancer
-HRT
-alcohol
-early menarche
-late menopause
-nulliparity
-radiation exposure
Term
most sensitive & specific imaging test currently available
Definition
mammo
Term
what are the diagnostic modalities for breast cancer
Definition
-FNA
-mammo
-U/S
-CT
-MRI
Term
not for screening, but to evaluate a breast mass
Definition
U/S
Term
used for imaging internal mammary nodes & evaluate the chest/axilla after mastectomy
Definition
CT
Term
imaging of choice to evaluate implant rupture, good for dense scar tissue, used for local staging for DCIs & lobular cancer but it's expensive
Definition
MRI
Term
what are the characteristics of a her-2-neu oncogene
Definition
-poorer prognosis
-response to herceptin
-correlated w/ ovarian cancer as well
Term
what do her-2-neu receptors respond to
Definition
herceptin
Term
how do we tx breast cancer
Definition
-surgery/radiation
-adjuvant therapy to decreased systemic recurrence (chemo)
-get lots of ppl involved
Term
what surgery do we do for DCIS/invasive carcinoma
Definition
lumpectomy
Term
surgeon removes the entire breast but leaves nodes and pectoralis muscle
Definition
modified radical mastectomy
Term
most extensive type of mastectomy removing chest wall muscles as well
Definition
radical mastectomy
Term
when is radiation used in breast cancer
Definition
after lumpectomy to prevent recurrence
Term
what do we use for ER + breast cancer
Definition
tamoxifen
Term
what do aromatase inhibitors do
Definition
decrease circulating estrogen
Term
what are some of the complications of surgery in breast cancer
Definition
-lymphedema (axillary node dissection)
-poor cosmetic result
-wound infxn
-seroma/hematoma
-local recurrence
Term
what are the complications for chemo, hormone tx, RT
Definition
-N/V
-leukopenia, thrombocytopenia
-alopeica
-cardiotoxicity
-sepsis
-hemorrhagic cystitis
Term
does a reconstructed breast have natural sensation
Definition
no
Supporting users have an ad free experience!