Breast Cancer Diagnosis and Imaging
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Questions and Answers

What type of presenting symptom might be included in a medical history for breast-related issues?

  • Nausea
  • Chest pain
  • Headaches
  • Mass (correct)
  • Which of the following is NOT considered a presenting symptom in breast disease history?

  • Abnormal imaging
  • Nipple discharge
  • Difficulty breathing (correct)
  • Palpable adenopathy
  • Which historical aspect is critical when assessing breast health?

  • Travel history
  • Previous family illnesses
  • History of previous breast diseases (correct)
  • Allergies to medications
  • A patient presents with nipple discharge. This symptom is categorized under which aspect of breast disease evaluation?

    <p>Presenting symptoms</p> Signup and view all the answers

    Which of the following would be critical to document in a breast disease history?

    <p>Previous breast diseases</p> Signup and view all the answers

    Which mammographic finding is typically indicative of cancer?

    <p>Stellate mass</p> Signup and view all the answers

    What do microcalcifications typically indicate in a mammography finding?

    <p>Potential malignancy</p> Signup and view all the answers

    What characteristic is used in ultrasound to differentiate between solid masses and cystic masses?

    <p>Internal echoes</p> Signup and view all the answers

    Which characteristic is associated with benign soft tissue shadows in mammography?

    <p>Smooth and regular appearance</p> Signup and view all the answers

    Which feature is associated with the appearance of an ultrasound scan of a cancerous mass?

    <p>Dark appearance</p> Signup and view all the answers

    In mammography, what does spiculation of a mass lesion typically suggest?

    <p>Possible malignancy or carcinoma</p> Signup and view all the answers

    Which finding on a mammogram is generally considered a non-cancerous indication?

    <p>Simple cyst</p> Signup and view all the answers

    What is a sign of potential malignancy detected during an ultrasound evaluation?

    <p>Acoustic shadowing</p> Signup and view all the answers

    What is a significant factor to assess when evaluating a mass lesion in a mammogram?

    <p>The size and location of the lesion</p> Signup and view all the answers

    How does the appearance of duct distortion relate to malignancy in mammography findings?

    <p>It can suggest the presence of carcinoma.</p> Signup and view all the answers

    What should be documented if a mass is detected?

    <p>The mass's location, mobility, and consistency</p> Signup and view all the answers

    How does the persistence of true masses behave throughout the menstrual cycle?

    <p>They persist and do not change</p> Signup and view all the answers

    What is the recommended approach when a mass is detected?

    <p>Diagnose immediately without further observation</p> Signup and view all the answers

    Which of the following is NOT a necessary action upon detection of a mass?

    <p>Ask about the patient's family history</p> Signup and view all the answers

    Which characteristic is true about true masses?

    <p>They last consistently throughout the menstrual cycle</p> Signup and view all the answers

    What is a significant disadvantage of using MRI for breast cancer evaluations?

    <p>It is costly and has limited availability.</p> Signup and view all the answers

    What imaging method is considered the best for examining internal mammary nodes following a mastectomy?

    <p>Computed Tomography (CT) scan</p> Signup and view all the answers

    Which procedure is typically performed for the cytological evaluation of breast lesions?

    <p>Fine-Needle Aspiration Cytology (FNAC)</p> Signup and view all the answers

    What is a likely consequence of the limited availability of MRI in breast cancer diagnosis?

    <p>Increased reliance on less effective imaging methods.</p> Signup and view all the answers

    Which imaging technique is less effective than CT scans for imaging the chest and axilla after mastectomy?

    <p>MRI</p> Signup and view all the answers

    Study Notes

    Breast Cancer History

    • Presenting symptoms include mass, pain, nipple discharge, palpable adenopathy or abnormal imaging
    • Previous breast disease history is important
    • If a mass is detected, it should be measured, it's location, mobility, and consistency should be documented
    • True masses will persist throughout the menstrual cycle

    Diagnosis: Mammography

    • Microcalcifications signify malignancy
    • Soft tissue shadows can be smooth and regular in benign conditions, or irregular in carcinomas
    • Size and location of the mass lesion should be recorded
    • Spiculations and duct distortion are important for diagnosis

    Mammographic Findings of Cancer

    • Stellate mass pattern
    • Clustered microcalcifications

    Ultrasound

    • Ultrasound is used to differentiate solid masses from cystic masses
    • Evaluate the margin of the lesion, internal echoes, signal retro-tumor loss, and a dark appearance (acoustic shadowing)
    • Assess compressibility and dimension
    • Limited availability and cost are disadvantages of MRI

    Computed Tomography (CT) Scan of Breast

    • Best method to image internal mammary nodes
    • Evaluates the chest and axilla after mastectomy

    Needle Cytology and Biopsy

    • Fine-Needle Aspiration Cytology (FNAC) is a common method

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    Related Documents

    L1 - Breast Diseases PDF

    Description

    This quiz covers key concepts in the diagnosis of breast cancer, focusing on presenting symptoms, mammographic findings, and ultrasound techniques. Understand how to interpret mammography and ultrasound results to differentiate between benign and malignant conditions. Test your knowledge on important diagnostic criteria and imaging characteristics.

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