Mammography Registry Review
latest updated version with 100%
correct answers
BSE involves - answer Looking & feeling for changes in the breast
CBE is a check of the breast by who? - answer Qualified healthcare
professional
ACS recommends women 20 & older perform BSE - answer Every month
Women 20-39 should have a CBE how often? - answer Every 3 years
Women 40 & older should have screen mammo & CBE how often? - answer
Every year
Thorough clinical exam will: - answer Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: - answer Symptoms & risk factors for breast
cancer & benign breast conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. - answer
Increases
Average glandular dose of screen-film mammogram with grid - answer 0.1-
0.2 rad
,Biggest risk factor for breast cancer - answer Gender
High risk factors - answer Age
Genes-brCA1&2...
Close blood relative
Personal hx breast ca
Moderate risk factors - answer 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors - answer 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 - answer Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer - answer Ductal
Lobular
, Most common breast cancer
90% all cases? - answer Ductal carcinoma
Stage 0 carcinoma, confined to duct - answer DCIS
Cancer has spread from ducts into surrounding stromal tissue & possibly
pectoral fascia/ muscle - answer Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers - answer 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not
penetrating lobule walls - answer Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin
retraction - answer Invasive lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis
than infiltrating Ductal/lobular cancers - answer Better
Single most effective tool in detection breast cancer - answer Mammogram
Describe malignant asymmetric density on mammogram - answer
Speculated/stellate lesion w solid central tumor & radiating structures
Malignant circumscribed lesions - answer Ill-defined & high density
radiopaque, except few rare are low density
Ductal ca+ - answer Granular or casting type Ca+ & usually appear in
clusters
latest updated version with 100%
correct answers
BSE involves - answer Looking & feeling for changes in the breast
CBE is a check of the breast by who? - answer Qualified healthcare
professional
ACS recommends women 20 & older perform BSE - answer Every month
Women 20-39 should have a CBE how often? - answer Every 3 years
Women 40 & older should have screen mammo & CBE how often? - answer
Every year
Thorough clinical exam will: - answer Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: - answer Symptoms & risk factors for breast
cancer & benign breast conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. - answer
Increases
Average glandular dose of screen-film mammogram with grid - answer 0.1-
0.2 rad
,Biggest risk factor for breast cancer - answer Gender
High risk factors - answer Age
Genes-brCA1&2...
Close blood relative
Personal hx breast ca
Moderate risk factors - answer 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors - answer 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 - answer Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer - answer Ductal
Lobular
, Most common breast cancer
90% all cases? - answer Ductal carcinoma
Stage 0 carcinoma, confined to duct - answer DCIS
Cancer has spread from ducts into surrounding stromal tissue & possibly
pectoral fascia/ muscle - answer Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers - answer 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not
penetrating lobule walls - answer Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin
retraction - answer Invasive lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis
than infiltrating Ductal/lobular cancers - answer Better
Single most effective tool in detection breast cancer - answer Mammogram
Describe malignant asymmetric density on mammogram - answer
Speculated/stellate lesion w solid central tumor & radiating structures
Malignant circumscribed lesions - answer Ill-defined & high density
radiopaque, except few rare are low density
Ductal ca+ - answer Granular or casting type Ca+ & usually appear in
clusters
