Risk Factors
Gene which gives women a 50--80% risk of developing breast cancer.
What is BRCA1?
First step imaging modality for breast mass in pt younger than 30
What is ultrasound?
Removed during traditional radical mastectomy.
What is the pec major and complete axillary lymph node dissection?
Nodes that are not removed during ax dissection.
What are level 3 axillary nodes?
7 years of therapy after BC diagnosis and the following favorable finding on tumor.
How long should ER/PR+ patients stay on hormonal therapy?
Medication that increases risk of breast cancer.
What is hormone replacement therapy?
This is the workup for a palpable breast mass in pt older than 30.
What is a diagnostic mammo, US, and core biopsy?
Get a winged scapula if injured during surgery.
What is the long thoracic nerve?
Most common complication of axillary dissection.
What is lymphedema?
DVTs and endometrial cancer as SE of this medication.
What are the potential side effects of tamoxifen?
Model that predicts lifetime risk for breast cancer.
What is the gail risk model?
Yearly mammo starting at 40 years.
What is the screening guidelines for breast cancer according to ACS?
Superior border of the axilla
What is the axillary vein?
No tumor on ink.
What are the necessary margins for invasive ductal or lobular carcinoma?
Chemo for HER 2 positive cancers.
What is Trastuzumab (Herceptin)?
12% lifetime risk of BC
What is a regular woman’s lifetime risk of breast cancer without any risk factors?
Bi-annual mammo starting at 50 years.
What is the screening guidelines for breast cancer according to USPTF?
Nodes that are deep to the pec minor.
What are level 2 axillary nodes?
2mm margin
What are the necessary margins for DCIS?
Diagnostic imaging needed before starting someone on aromatase inhibitor.
What is a DEXA scan?
Therapy that risk of breast cancer by 50%
What is tamoxifen/aromatase inhibitor preventive therapy?
Two view for screening mammograms
What is cranio-caudal and medial-lateral-oblique?
Involvement may cause breast ‘retraction’.
What are the suspensory ligaments?
Anastomosed to the deep inferior epigastric vessels during DIEP flap reconstruction.
What is the internal mammary artery?
Demonstrated that there is no survival benefit for ax dissection if 2 or fewer positive sentinel nodes.
What is the z11 trial?