Mammography Registry Review Verified Questions
And Answers Real Tests
BSE involves ANS Looking & feeling for changes in the breast
CBE is a check of the breast by who? ANS Qualified healthcare professional
ACS recommends women 20 & older perform BSE ANS Every month
Women 20-39 should have a CBE how often? ANS Every 3 years
Women 40 & older should have screen mammo & CBE how often? ANS Every year
Thorough clinical exam will: ANS Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: ANS Symptoms & risk factors for breast cancer & benign breast
conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. ANS Increases
Average glandular dose of screen-film mammogram with grid ANS 0.1-0.2 rad
Biggest risk factor for breast cancer ANS Gender
High risk factors ANS Age
Genes-brCA1&2...
,Close blood relative
Personal hx breast ca
Moderate risk factors ANS 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors ANS No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
Examples of benign breast disease ANS Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer ANS Ductal
Lobular
Most common breast cancer
90% all cases? ANS Ductal carcinoma
Stage 0 carcinoma, confined to duct ANS DCIS
, Cancer has spread from ducts into surrounding stromal tissue & possibly pectoral fascia/ muscle ANS
Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers ANS 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not penetrating lobule walls
ANS Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin retraction ANS Invasive
lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis than infiltrating Ductal/lobular
cancers ANS Better
Single most effective tool in detection breast cancer ANS Mammogram
Describe malignant asymmetric density on mammogram ANS Speculated/stellate lesion w solid
central tumor & radiating structures
Malignant circumscribed lesions ANS Ill-defined & high density radiopaque, except few rare are low
density
Ductal ca+ ANS Granular or casting type Ca+ & usually appear in clusters
2 types mammography screening ANS Conventional-analog
Digital-w cassette or wo
2 types digital detectors ANS Direct
Indirect
(Both are cassette-less)
And Answers Real Tests
BSE involves ANS Looking & feeling for changes in the breast
CBE is a check of the breast by who? ANS Qualified healthcare professional
ACS recommends women 20 & older perform BSE ANS Every month
Women 20-39 should have a CBE how often? ANS Every 3 years
Women 40 & older should have screen mammo & CBE how often? ANS Every year
Thorough clinical exam will: ANS Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: ANS Symptoms & risk factors for breast cancer & benign breast
conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. ANS Increases
Average glandular dose of screen-film mammogram with grid ANS 0.1-0.2 rad
Biggest risk factor for breast cancer ANS Gender
High risk factors ANS Age
Genes-brCA1&2...
,Close blood relative
Personal hx breast ca
Moderate risk factors ANS 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors ANS No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
Examples of benign breast disease ANS Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer ANS Ductal
Lobular
Most common breast cancer
90% all cases? ANS Ductal carcinoma
Stage 0 carcinoma, confined to duct ANS DCIS
, Cancer has spread from ducts into surrounding stromal tissue & possibly pectoral fascia/ muscle ANS
Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers ANS 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not penetrating lobule walls
ANS Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin retraction ANS Invasive
lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis than infiltrating Ductal/lobular
cancers ANS Better
Single most effective tool in detection breast cancer ANS Mammogram
Describe malignant asymmetric density on mammogram ANS Speculated/stellate lesion w solid
central tumor & radiating structures
Malignant circumscribed lesions ANS Ill-defined & high density radiopaque, except few rare are low
density
Ductal ca+ ANS Granular or casting type Ca+ & usually appear in clusters
2 types mammography screening ANS Conventional-analog
Digital-w cassette or wo
2 types digital detectors ANS Direct
Indirect
(Both are cassette-less)
