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04 Breast Mass
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Last Update
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Published
11/02/2024
Insidious as it relates to medical terminology means {{c1::slow in development}}
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11/02/2024
what is a breast lump
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what are the 5 differentials of breast mass
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A milk-filled breast cyst is termed a {{c1::galactocele}}
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{{c1::Mastitis}} refers to inflammation or swelling of the breasts that may or may not be infectious
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Fibroadenoma, fibrocystic changes, and papilloma are all examples of {{c1::benign}} breast lesions
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Benign tumors often have a greater effect on {{c1::morbidity::mortality/morbidity}}
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Benign breast masses are characteristically:{{c1::soft/rubbery::texture}}{{c1::mobile::mobile/fixed}}{{c1::symmetric::symmetry}}{{c1::tender::tender/n…
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What features of a breast mass would be concerning for malignancy?{{c1::hard::hard/soft}}{{c1::immotile::motile/immotile}}{{c1::non-tender::tender/non…
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{{c1::Milk lines}} are vetral surface ectoderm ridges along which breast tissue and nipples develop
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{{c1::Polythelia}} is a congenital anomaly in which a patient develops more than 2 nipples
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What is the medical term for breast pain?{{c1::mastodynia/mastalgia}}
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what is skin dimpling
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A {{c1::pedunculated}} nipple is a nipple with an elongated stalk
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{{c1::Montgomery glands}} are tubercles of the nipple that secrete sebum in order to moisturize the aerolar tissue and stimulate fetal latching
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{{c1::Paget's}} disease describes a breast malignancy that begins as a scaly, eczema-like lesion and may weep, crust, or erode
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{{c1::Peau d'orange}} refers to the observable changes in breast tissue caused by lymph blockage and excess fibrosis. The breast will appear hard, dar…
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Peau d'orange is caused by {{c1::blockage of lymph vessels}} that results in the {{c1::excess accumulation of lymph in breast tissue}}.
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The {{c1::sentinel}} lymph node is the first node to which cancer is likely to metastasize
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The breast is anatomically defined as the area between the {{c1::clavicle}} and {{c1::6th rib}} vertically, and the {{c1::midaxillary line}} and {{c1:…
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The {{c1::tail of spence}} refers to the breast tissue that extends into the anterior axillary fold
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What quandrant of the breast and which breast is most at risk for malignancy?{{c1::superolateral quadrant of the left breast}}
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The majority of breast lymph is drained by the {{c1::axillary}} lymph nodes (75%) while the minority is drained by the {{c1::parasternal}} lymph nodes…
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general causes of mastalgia (breast pain) and when it is pathological/physiological
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What are the three methods of breast palpation{{c1::}}
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What is the palpation method used for the axillary nodes?the {{c1::box}} method
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{{c1::Galactorrhea}} is the term for milky nipple discharge unrelated to normal milk production. It could be related to {{c1::malignancies like p…
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{{c1::Fibroadenoma}} is the most common breast lesion in a 15-25 year old.
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What are the three most common breast lesions in a 25-50 year old?{{c1::CystsFibrocystic changesCancer}}
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{{c1::Cancer}} is the most common breast lesion in a woman >50 year old
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The most common breast lesions in pregnancy and lactation are:{{c1::lactating adenomascystsmastitiscancer}}
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A fibradenoma is a {{c1::hyperplasia}} of {{c1::stroma}} and {{c1::glandular}} tissues of the breast. Fibroadenoma masses are characterized as:{{c1::s…
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Fibrocystic changes are {{c1::dependent::dependent/independent}} on/of the menstrual cycle and are characterized as {{c1::nodular}} lesions caused by …
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what is a papilloma in terms of breast lesions
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characteristic findings of cancer in breasts
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Mammography is indicated for {{c1::solid}}, {{c1::suspicious}} masses, especially in women over {{c1::40}}. While it is the current gold standard for …
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Most breast cancers are detected by {{c1::mammography}}.
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Ultrasonography is indicated for breast masses in women under {{c1::35}} and for {{c1::hollow/non-suspicious}} masses
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Ultrasonography of breast masses is indicated for {{c1::cystic}} lesions only
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{{c1::Fine needle}} aspiration is a biopsy technique indicated for cystic lesions
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A cystic mass should get {{c1::fine needle aspiration}}.
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If the aspirate of a fine needle aspiration is clear of blood and the cyst is reduced, the patient should {{c1::follow up in 4-6 weeks}}. If these cri…
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The current gold standard for breast biopsy of solid/suspicious masses is {{c1::core needle biopsy}}
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Excisional breast biopsy is indicated when 1. {{c1::there is imaging discordance with biopsy histology}}2. {{c1::lesions can't be reached by core…
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risk factors for breast cancer
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BRCA mutations increase breast cancer risk by
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{{c1::yes, marked venous network in pregnancy::are these normal appearing breasts?}}
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{{c1::no, normal breast asymmetry::are there any abnormalities present?}}
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{{c1::no, abnormal breast contour with dimpling and nipple inversion::is this a normal appearing breast?}}
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{{c1::breast dimpling}}
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{{c1::mastitis}}
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{{c1::breast abscess}}
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{{c1::fat necrosis with + seatbelt sign}}
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{{c1::Paget's disease}}
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{{c1::polythelia}}
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{{c1::montgomery tubercles}}
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{{c1::montgomery tubercles}}
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{{c1::paget's disease}}
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{{c1::paget's disease}}
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{{c1::paget's disease}}
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color of nipple discharge and disease{{c2::fibrocystic disease}} : {{c1::brown or green}}{{c2::infection}} : {{c1::yellow}}{{c2::galactorrhea}} : {{c1…
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11/02/2024
lymph nodes are typically palpable in what type of hyperplasia
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5 differentials for breast mass1. {{c1::trauma}} → hematoma, fat necrosis2. {{c1::mass of non-inflammtory etiology}} → cyst (galactocele: mi…
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11/02/2024
papilloma: {{c1::pedunculated growth of epithelial cells that project in the lumen of a duct & common cause of clear or bloody unilateral nipple d…
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