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ARDMS Breast Registry Review - Questions With Verified Solutions

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ARDMS Breast Registry Review - Questions With Verified Solutions

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ARDMS Breast Registry Review - Questions With
Verified Solutions

1 and _______ woman is estimated to develop breast cancer Right Ans - 8

Risk Factors for breast cancer in females include Right Ans - advancing age,
family hx, early menarch/ late menopause, late ago for first preganancy, no
pregnancy, radiation exposure, exogenous estrogen use, post meno obesity

More than 80% of cancers occur in woman of what age demographic? Right
Ans - older than 50

what ethnicity of woman are more likely to develop br CA? Right Ans -
caucasion

what ethnicity of woman of a higher mortality rate from br CA? Right Ans -
african american

Most Common type of breast cancer Right Ans - Invasive ductal carcinoma
(IDC)

Invasive carcinomas include Right Ans - IDC 60-70% of all br CA and 80-
85% of all invasive cancers
Invasive lobular carcinoma 10%
Special Type invasive duct carcinomas

Special Type invasive duct carcinomas include? Right Ans - Tubular 2-8%
Medullary (5%)
Colloid (2%)
Rarest-Papillary (2%)

Non invasive ductal carcinoma Right Ans - 20% of all breast cancers

ductal carcinoma in situ (DCIS) Right Ans - breast cancer at its earliest
stage before the cancer has broken through the wall of the milk duct (85%) of
non-invasive cancers
20-40% of detected malignancies

, Lobular carcinoma in situ (LCIS) Right Ans - Malignant cells in LOBULES
without stromal invasion
Lower risk of invasion than DCIS, but increased risk of CONTRALATERAL
MALIGNANCY

typically diagnosed micrscopically and incidentally

DCIS by grade
Low nuclear grade "non-comedo type" Right Ans - earlieststage shows faint
microcals on mammo

DCIS by grade
high nuclear grade "comedo type" Right Ans - more aggressive form of
DCIS

duct distension with plug-like, necrotic (cheese-like)material that contains
extensive clacifications

mammo findings of DCIS Right Ans - microcals
nodular mass with or without micocals
nonspecific soft tissue density asymmetric density
solitary or multiple dilated ducts
arch distortion (can indicate invasive component)

sono findings of DCIS Right Ans - no findings if they do not grossly distend
the duct
distended duct with internal ehoes with or w/o microcals
tubular appearing soft tissue intraductal mass
microlobulated mass with branch extension
intracystic papillary lesion

other forms of DCIS Right Ans - intracystic papillary carcinoma
paget's disease of the nipple

Paget's disease of the nipple Right Ans - extension of DCIS into lactiferous
ducts and skin of nipple producing a rash w/ or w/o nipple retraction; Paget's
cells are present
discharge itching erythema crusting of the nipple and ulceration are clinical
features

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