Breast

Question 1

Triple assessment approach to breast lumps

Answer 1

Clinical examination &
Imaging
Pathology

Question 2

Symptoms of breast cancer

Answer 2

Dimpling
Weight loss
Malaise
Nipple Inversion
Ulceration
Tenderness
Peau de orange

Tenderness
WSarm
Bloody discharge
Irregular margins

size
colour
tenderness and temp
fixation

Question 3

Symptoms of ?

Answer 3

Nipple discharge/bleeding

Erythema

Question 4

Systems review and why

Answer 4

Fever
SOB
Abdo pain, N+V
Confusion
Back pain (spinal mets)

Question 5

Rx

Answer 5

A frogman

Age
FHx
Radiation 
Obesity + OCP
Genetics (HR positive)
Menarche and menopause
Alcohol
Nulliparity

Question 6

What are investigations

Answer 6

Mammogram

USS - under 35 (more dense breast)

Question 7

When are women invited for screening?

Answer 7

Women aged between 50-70 invited for screening every three years

Question 8

What do you do to collect samples of the breast lump?

Answer 8

Fine needle aspiration cytology

Core biopsy

Question 9

What is grading?

Answer 9

Appearance of breast cancer cells compared to normal tissue

Question 10

TNM staging - what does 0-4 mean?

Answer 10

0 = in sutu
1-3 - within breast
4 - metastatic cancer