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Published byHeaven Challis
Modified about 1 year ago
By James Lee, MD PIMP SESSION: BREAST
WHAT MUSCLE DOES THE LATERAL THORACIC ARTERY SUPPLY?
WHAT MUSCLE DOES THE THORACODORSAL ARTERY SUPPLY?
WHAT PERCENTAGE OF LYMPHATIC DRAINAGE OF THE BREAST IS TO THE AXILLARY NODES?
WHAT PERCENTAGE OF LYMPHATIC DRAINAGE OF THE BREAST IS TO THE INTERNAL MAMMARY NODES?
DESCRIBE WHAT LEVELS I, II AND III NODES ARE IN THE BREAST?
Level I : Lateral to the pectoralis minor muscle Level II : Beneath the pectoralis minor muscle Level III : Medial to the pectoralis minor muscle
WHAT ARE THE BOUNDARIES OF AN AXILLARY LYMPH NODE DISSECTION?
WHAT ARE THE BOUNDARIES OF AN AXILLARY LYMPH NODE DISSECTION (ALND)? Superior - axillary vein Posterior - long thoracic nerve Lateral - latissimus dorsi muscle Medial - pectoralis minor
WHAT NERVES DO YOU HAVE TO BE AWARE OF IN AN ALND?.
Long thoracic nerve Thoracodorsal nerve Medial pectoral nerve Lateral pectoral nerve
WHAT IS THE MOST LIKELY CAUSE OF SUDDEN, PAINFUL, EARLY POSTOP SWELLING OF THE IPSILATERAL ARM AFTER AN AXILLARY DISSECTION?
Axillary vein thrombosis
WHAT IS THE MOST LIKELY CAUSE OF SLOW, PAINLESS, PROGRESSIVE SWELLING OF THE IPSILATERAL ARM AFTER AN AXILLARY DISSECTION?
WHAT IS THE MOST LIKELY CAUSE OF HYPERESTHESIA OF THE INNER UPPER ASPECT OF THE IPSILATERAL ARM AFTER AN AXILLARY DISSECTION?
Injury to the second intercostobrachiocutaneous nerve
WHAT IS THE INCIDENCE OF LYMPHEDEMA AFTER AXILLARY NODE DISSECTION?
WHAT IS THE INDICENCE OF LYMPHEDEMA AFTER SENTINEL NODE BIOPSY? 2-4%
WHAT IS THE MOST COMMON BREAST ABNORMALITY?
WHAT IS THE MOST COMMON CAUSE OF BLOODY NIPPLE DISCHARGE?
WHAT IS THE DOSE OF EVENING PRIMROSE OIL TO TREAT MASTODYNIA?
3-4 grams daily
WHAT IS THE MOST AGGRESSIVE SUBTYPE OF DUCTAL CARCINOMA IN SITU?
WHAT IS THE RISK OF LYMPH NODE METASTASIS WITH DCIS?
WHAT IS THE SURGICAL TREATMENT FOR A < 1 CM LOW GRADE DCIS?
Excision with 1 cm margins +/- radiation
WHAT IS THE SURGICAL TREATMENT FOR A > 1 CM DCIS? Lumpectomy and radiation with 1 cm margins or total mastectomy without axillary dissection
WHAT ARE THE INDICATIONS TO PERFORM A SIMPLE MASTECTOMY FOR DCIS? Contraindications to radiation, DCIS > 1cm, and diffuse breast involvement
WHICH BREAST DOES INVASIVE CANCER ARISE IN THE SETTING OF DCIS?
Usually the ipsilateral breast
WHICH BREAST DOES INVASIVE CANCER ARISE IN THE SETTING OF LCIS?
Carcinoma can arise in either breast
WHAT IS THE ASSESSMENT AND RECOMMENDATION FOR EACH BI-RADS CATEGORY?
BI-RADS 0 : Incomplete; follow-up imaging necessary BI-RADS 1 : Negative; routine screening BI-RADS 2 : Definite benign finding; routine screening BI-RADS 3 : Probably benign; 6 month short interval follow-up BI-RADS 4 : Suspicious abnormality; biopsy should be considered BI-RADS 5 : Highly suspicious of malignancy; appropriate action should be taken BI-RADS 6 : Known biopsy proven malignancy; assure that treatment is completed
HOW LARGE MUST A MASS BE TO BE DETECTED ON MAMMOGRAPHY?
5 mm or greater
WHAT ARE THE GENERAL POPULATION SCREENING RECOMMENDATIONS FOR BREAST CANCER?
Initial screening mammogram at age 40 and annual mammograms after age 40
WHAT ARE THE SCREENING RECOMMENDATIONS FOR A PATIENT AT HIGH RISK FOR BREAST CANCER?
Mammogram 10 years before the youngest age of diagnosis of breast cancer in a first-degree relative
WHAT PERCENTAGE OF BREAST CANCERS HAVE A NEGATIVE MAMMOGRAM AND ULTRASOUND?
WHICH SUBTYPE OF DUCTAL CARCINOMA WITH THE WORSE PROGNOSIS?
HOW LONG DOES IT TAKE FOR A SINGLE MALIGNANT CELL TO BECOME A 1-CM TUMOR?
WHAT ARE INDICATIONS FOR RADIATION AFTER MASTECTOMY?
4 nodes, extracapsular nodal invasion, fixed axillary nodes (N2) or internal mammary nodes (N3), inflammatory cancer, positive margins, skin/chest wall involvement, tumor > 5 cm
WHAT IS THE TREATMENT FOR MALE BREAST CANCER?
Modified radical mastectomy
WHAT IS REMOVED WITH A MODIFIED RADICAL MASTECTOMY?
Breast, nipple-areolar complex, and axillary nodes (level I, II)
WHAT IS THE CHANCE OF LOCAL RECURRENCE AFTER MASTECTOMY?
WHAT IS THE STANDARD DOSAGE OF TAMOXIFEN IN REGARDS TO ADJUVANT TREATMENT FOR BREAST CANCER?
20 mg daily for 5 years
WHAT PERCENTAGE OF CYSTOSARCOMA PHYLLODES ARE MALIGNANT BASED ON > 5-10 MITOSES/HPF?
WHAT IS THE MOST COMMON BACTERIA TO CAUSE MASTITIS?
WHAT ARE INDICATIONS FOR NEOADJUVANT THERAPY IN BREAST CANCER?
Primary tumors >5 cm, fixed or matted axillary nodes, and inflammatory breast carcinoma.
WHAT ARE CONTRAINDICATIONS TO RADIATION THERAPY?
Previous radiation therapy to breast, severe collagen vascular disease, pregnancy
Breast Cancer. Introduction Most common female cancer Accounts for 32% of all female cancer 211,300 new cases yearly and rising 40,000 deaths yearly.
Breast Carcinoma. Anatomy Epidemiology: 10% 17.1/10 28/10 46/ m world wide 6% develop cancer of the breast in their lifetime. 50,000 to 70,000.
What is Breast Cancer ? Abnormal cells develop from normal cells in the breast to form tumors Abnormal cells develop from normal cells in the breast to.
TREATMENT Mastectomy -traditionally, treatment of breast ca has been surgical -19 century, surgical treatment : local excision ~ total mastectomy : radical.
KWH Experience Dr. Carmen Ho. Breast cancer as most common cancer in women in Hong Kong DCIS as precursor of invasive cancer Heterogeneous group.
Figure 1: a 32-year-old woman presented with RT breast mass, MRI showed false positive diagnosis of cancer. Dynamic contrast enhanced MRI, axial subtraction.
Breast Mass Connie Lee, M.D. UF Surgery. History for Breast Mass HPI: Precise location of mass How was it identified How long has it been present Nipple.
FNAB: Consistent for ductal carcinoma Plan: Induction Chemotherapy / MRM / BCT? Why?
Treatment of Early Breast Cancer Frances Wright MD MEd FRCSC.
Elshami M.Elamin, MD Medical Oncologist Central Care Cancer Center Wichita, KS, USA
BREAST CANCER. Anatomy of the Breast The Breast – Mammary gland a) Glandular tissue b) Duct system c) Fat.
Breast Imaging Made Brief and Simple Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA.
The breast disease. Benign disease Present as; 1. Pain 2. Mass 3. Discharge 4. Abnormal appearance.
First month Second Month First month Second Month Milk line remnant Milk line remnant Accessory axillary breast tissue Accessory axillary breast tissue.
What is cancer? A cancer is a malignant tumor, which are cells that multiply out of control, destroying healthy tissues (Dictionary)
Breast Cancer 101 Barbara Lee Bass, MD, FACS Professor of Surgery Associate Chair for Academic Affairs and Research University of Maryland School of Medicine.
Determining the Nature of a Breast Abnormality It is a procedure that may be used to determine whether a lump is a cyst (sac containing fluid) or a.
TNM staging and prognosis Alexandru Eniu, MD, PhD Medical Oncologist Department of Breast Tumors Cancer Institute Ion Chiricuţă Cluj-Napoca, Romania.
BREAST CANCER GROUP 6 : Nuraini Ikqtiarzune Haryono( ) Tri Wahyu Ningsih ( ) Rani Yuswandaru ( ) Anita Rheza Fitriana Putri( )
An update for Illinois Nurses Elizabeth A. Peralta, MD The Breast Center at SIU Springfield, IL May 2011.
(√ ) or (X ) MCQs On Breast Imaging:. Breast Anatomy and Development: 1.The Breast is a modified apocrine sweat gland. 2.The major artery to the breast.
BREAST LUMP. Abdul.Kader WEISS M.D CHIRURGIE GENERALE ET VISCERALE /CHIRURGIE COELIOSCOPIQUE D.E.S, A.F.S,A.F.S.A, DU / FRANCE Reference Surgery at a.
Abnormal Mammogram Marion C.W. Henry, MD Yale University.
BREAST CANCER PROF.NAZEM SHAMS. IS IT A SERIOUS PROBLEM ??
CANCER BREAST OVERVIEW Dr. Ehab M.Oraby. INTRODUCTION Breast is a modified sweat gland between skin and pectoral fascia.
SYB Case 2 By: Amy. History 63 y/o female History of left breast infiltrating duct carcinoma s/p mastectomy in 1996 and chemotherapy ER negative, PR negative,
Breast Clinical Correlation Anne T. Mancino MD. American Cancer Society 1999 Cancer Facts & Figures Breast Cancer Facts An estimated 178,000 new cases.
E.Naghshineh M.D1 IN THE NAME OF GOD BREAST DISEASE.
Radiotherapy in Carcinoma of the Breast Patrick S Swift, MD Director, Radiation Oncology Alta Bates Comprehensive Cancer Center Berkeley, CA.
PERSONALIZING THE TREATMENT OF WOMEN WITH EARLY BREAST CANCER : HIGHLIGHTS OF THE ST GALLEN INTERNATIONAL EXPERT CONSENSUS ON THE PRIMARY THERAPY OF EARLY.
Breast Cancer Surgery 2004 William A. Barber, M.D. Piedmont Hospital.
Interventions for Clients with Cancer Interventions for Clients with Breast Cancer.
Breast Cancer. Breast cancer is a disease in which malignant cells form in the tissues of the breast – “National Breast Cancer Foundation” The American.
Breast Cancer Treatment: An Evidence-based Review Judith Luce, M.D.
Case scenario- Breast Lump M K ALAM. Case scenario A 50-year old female presented with a breast lump. What would you do?
BREAST Begashaw M (MD). Introduction Modified sweat gland - produces milk Breast ca - most common cause of death Benign conditions discomfort confusion.
Ductal Carcinoma In Situ (DCIS) JoAnne Zujewski, MD Head, Breast Cancer Therapeutics Clinical Investigations Branch Cancer Therapy Evaluation Program Division.
General recommendations -adjuvant systemic therapy :with tamoxifen or multiple-chemotherapy agent :lower the incidence of recurrence by about 30% - in.
Breast Cancer Dr. Gehan Mohamed. Introduction Most common female cancer. The incidence of breast cancer increases with age. 80% of cases occur in post-menopausal.
Radical Mastectomy is no longer the standard Improved adjuvant and neoadjuvant therapy Chemotherapy Endocrine therapy Radiation treatment Reconstruction.
Breast Cancer in Pregnancy Steven Stanten MD Rupert Horoupian MD AltaBates Summit Medical Center Oakland, California.
Histopathology and staging of breast cancer Prof T J Stephenson.
Breasts Thorax. Famous for her breasts? objectives Breast anatomy Blood supply Lymphatic drainage Breast cancer.
Radiotherapy Protocols Bristol protocol version 12.
Interventions for Clients with Lung Cancer. Benign Breast Disorders Fibroadenoma, most common cause of breast masses during adolescence; may occur.
Atoosa Adibi MD. Department of Radiology Isfahan University Of Medical Sciences.
Breast cancer is where malignant (harmful) cells are found in the breast tissue. This can happen to males and females. Worldwide, breast cancer is.
Breast Pathology Helge Stalsberg MD University Hospital of North Norway.
Breasts Thorax. Breasts Breast Glandular tissue embedded within superficial fascia of anterior chest wall Modified sweat glands Overlying pectoral muscles.
Pathology. What is pathology? Pathology is the study and diagnosis of diseases in living things by examining tissues, organs, cells, and fluids.
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