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OCPM PD Breast
Questions
66
Medical
Professional
04/18/2009

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Cards

Term
What are 3 concerning symptoms of the breasticles
Definition
"lump/mass, pain, nipple discharge"
Term
A milky bilateral discharge of the nipple may indicate what
Definition
"pregnancy, prolactin/other hormonal imbalance"
Term
spontaneous persistent nonlactational bloody discharge (unilateral) may be …?
Definition
papilloma disease or rarely breast cancer
Term
what are common characteristics of fibroadenomas
Definition
"fine, round, mobile, nontender"
Term
what are common characteristics of cysts
Definition
"soft to firm, round, mobile, often tender"
Term
what are common characteristics of fibrocystic changes
Definition
"nodular, ropelike"
Term
what are common characteristics of cancer in the breasts
Definition
"irregular, stellate, firm, not clearly delineated "
Term
what are common risk factors for breast cancer
Definition
"previous breast cancer, affected mom/sis., biopsy, atypical hyperplasia, ? age, early menarche, late menopause, late/no pregnancies, previous radiation to chest wall"
Term
What could redness in the breast mean during an inspection
Definition
possible local infection or inflammatory carcinoma
Term
Thickening of skin & prominent pores may suggest… ?
Definition
may suggest breast cancer
Term
recent or fixed flattening or depression of nipple may suggest …?
Definition
nipple retraction which may suggest cancer
Term
what occurs when cancer or its fibrous strands are attached to both the skin and fascia overlying the pectoral muscles
Definition
dimpling
Term
T/F even though lesions may be benign they should always be evaluated further
Definition
True- better safe than sorry
Term
What 4 positions assist in visually inspecting the breasts for lesions
Definition
"arms at side then over head, hands pressed against hips, and then leaning forward"
Term
when pressing deeply on the breast what may be mistaken for a hard breast mass
Definition
a rib
Term
nodules in the tail of the breast are often mistaken for what?
Definition
enlarged axillary lymph nodes
Term
define mammary duct ectasia
Definition
benign but often painful condition of dilated ducts with inflammation
Term
In what manner should you describe nodules
Definition
"location, size, shape, consistency, delimitation, tenderness, mobility"
Term
a mobile mass that becomes fixed when the arm relaxes is attached to what structure(s)
Definition
to the ribs and intercostal muscles
Term
a mobile mass that becomes fixed when the hand is pressed against the hip it is attached to what structure(s)
Definition
pectoral fascia
Term
what term is used with an imbalance of estrogens and androgens in the male breast
Definition
gynecomastia
Term
"Does a hard, irregular, eccentric, or ulcerating nodule suggest gynecomastia or breast cancer in the male breast"
Definition
breast cancer
Term
"deeply pigmented, velvety axillary skin suggests…?"
Definition
acanthosis nibricans
Term
"nodes that are large (?1 cm), firm/hard, matted together, or fixed to the skin or to underlying tissues suggests…?"
Definition
possible cancer
Term
what term is used for a milky discharge unrelated to a prior pregnancy and lactation
Definition
nonpuerperal galactorrhea
Term
what are the leading causes of nonpuerperal galactorrhea
Definition
hormones and pharmacological substances
Term
what position should your arm be in when doing a breast self-exam (BSE) while lying down
Definition
behind you head
Term
the finger pads of what fingers should be used to perform the BSE
Definition
the three middle fingers
Term
what pattern should you use when doing a BSE
Definition
It doesn't matter but use the same pattern each month
Term
what patterns are commonly used when doing BSE
Definition
"strip, circular, or wedge pattern"
Term
what benefit does the upright position provide while performing a BSE
Definition
it allows you to check the upper outer part of the breast (near armpit)
Term
what % of breast cancer is found in the upper outer part of the breast
Definition
nearly 50%
Term
What facilitates the upright BSE (allows skin to glide over breast easier)
Definition
perform it in the shower with soapy hands
Term
what is the difference between retraction signs and nipple retraction and deviation signs
Definition
retraction signs include dimpling/retraction at any spot in the tissue; nipple retraction is just around the nipple
Term
what causes edema of the skin of the breast
Definition
lymphatic blockade
Term
what are signs of edema of the skin of the breast
Definition
thickened skin with enlarged pores
Term
Thickened skin with enlarged pores is aka…?
Definition
peau d'orange sign (orange peel)
Term
"what uncommon form of breast cancer usually starts as a scaly, eczemalike lesion"
Definition
paget's disease of the nipple
Term
when should you suspect paget's disease of the nipple
Definition
with any persisting dermatitis of the nipple and areola
Term
what are the three most common kinds of breast masses
Definition
"fibroadenoma, cysts, and breast cancer"
Term
when does fibroadenoma usually appear
Definition
ages 15-25 (can be up to 55)
Term
how many masses usually appear with fibroadenoma
Definition
usually one but may be multiple
Term
what can a fibroadenoma be
Definition
"round, disclike, or lobular"
Term
what is the consistency of a fibroadenoma
Definition
"may be soft, but is usally firm"
Term
how mobile (if at all) is a fibroadenoma
Definition
very mobile (often called breast mice)
Term
how tender is a fibroadenoma to the patient
Definition
usually nontender
Term
are there any retraction signs with a fibroadenoma
Definition
no retraction signs
Term
what is the common age range that cysts of the breast appear
Definition
usually 30-50 (regresses after menopause)
Term
how many masses usually appear with cysts in the breast
Definition
single or multiple
Term
what is the shape of a cyst in the breast
Definition
"round, disclike, or lobular"
Term
what is the consistency of cysts in the breast
Definition
"soft to firm, usually elastic"
Term
how mobile (if at all) is a cyst
Definition
mobile
Term
How tender is a cyst to the patient
Definition
often tender
Term
are there any retraction signs with a cyst
Definition
no retraction signs
Term
what is the common age range that breast cancer appears
Definition
30-90 (more common over 50)
Term
how many masses usually appear with breast cancer
Definition
"usually single, but may coexist with other nodules"
Term
what is the shape of breast cancer
Definition
irregular or stellate
Term
what is the delimitation of the breast with breast cancer
Definition
not clearly delineated from surrounding tissues
Term
how mobile (if at all) is breast cancer
Definition
may be fixed to skin or underlying tissues
Term
how tender is breast cancer to the patient
Definition
usually nontener
Term
are there any retraction signs with breast cancer
Definition
retraction signs may be present
Term
name the glands around the breast
Definition
"lateral, central, subscapular, pectoral, supraclavicular, infraclavicular"
Term
what time of the month should women perform BSE
Definition
one week after end of menstrual cycle b/c hormones are low
Term
what time of the month should post-menopausal women perform BSE
Definition
any day during the month but be consistent from month to month
Term
What is the baseline age for women to receive their first mammogram
Definition
35 yrs
Term
when should women have yearly mammograms
Definition
40 and above
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