Non-pharmacologic Management of Ovarian Tumors and Ovarian Cancer
53 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a fibroadenoma?

  • A malignant breast lesion
  • A breast disorder with nipple discharge
  • A benign breast lesion with fibrotic stroma and glandular tissue (correct)
  • A type of ovarian tumor

    • How are complex fibroadenomas different from simple ones?

  • Simple fibroadenomas are bigger in size
  • Complex fibroadenomas show histologic characteristics like cysts and calcifications (correct)
  • Simple fibroadenomas are associated with nipple discharge
  • Complex fibroadenomas have unknown etiology

    • Which characteristic is typical of giant fibroadenomas?

  • Association with ovarian cancer
  • Fast-growing mass with poorly defined borders
  • Presence of nipple discharge
  • Size greater than five centimeters (correct)

    • What diagnostic procedures might be necessary for assessing a suspected fibroadenoma?

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

    What is the likely cause of fibroadenomas according to the text?

    <p>Exaggerated response to normal hormonal stimuli</p> Signup and view all the answers

    Which characteristic does not apply to fibroadenomas?

    <p>Usually associated with nipple discharge</p> Signup and view all the answers

    What are common symptoms associated with multiple papillomas in the breast?

    <p>Clusters of masses in smaller ducts away from the nipple</p> Signup and view all the answers

    What type of nipple discharge is commonly associated with papillomas?

    <p>Red, rusty, brown, greenish discharge</p> Signup and view all the answers

    What diagnostic tests are recommended for evaluating breast conditions?

    <p>Prolactin level and mammogram</p> Signup and view all the answers

    Which group of medications may cause bilateral nipple discharge?

    <p>Antihypertensives and antidepressants</p> Signup and view all the answers

    What is a common characteristic of breast cancer screening guidelines among various organizations?

    <p>Varied recommendations based on personal history</p> Signup and view all the answers

    Which type of breast cancer is described as malignant neoplasm of glandular or stroma cells native to the breast?

    <p>Ductal carcinoma in situ</p> Signup and view all the answers

    What role do BRCA1 and BRCA2 genes play in breast cancer?

    <p>Act as tumor suppressor genes with mutation leading to cell cycle progression</p> Signup and view all the answers

    What percentage of tumors may interact with estrogen receptors and epidermal growth factor receptors?

    <p>~33%</p> Signup and view all the answers

    What is one of the common benign conditions related to breast trauma?

    <p>Cellulitis leading to abscess formation</p> Signup and view all the answers

    Which diagnostic imaging technique is recommended for breast assessment following nipple discharge presentation?

    <p>Ultrasound examination</p> Signup and view all the answers

    What is the most common subtype of ovarian cancer?

    <p>Epithelial ovarian cancer</p> Signup and view all the answers

    What is the leading cause of gynecologic related deaths in women?

    <p>Ovarian cancer</p> Signup and view all the answers

    Which genetic syndrome increases the risk for colorectal, endometrial, stomach, small bowel, breast, pancreas, and ovarian cancers?

    <p>Lynch syndrome</p> Signup and view all the answers

    What is the most significant risk factor for ovarian cancer?

    <p>Multiple relatives with breast or ovarian cancer</p> Signup and view all the answers

    Which preventive measure has a protective effect against ovarian cancer but is considered controversial?

    <p>Aspirin and NSAIDs use</p> Signup and view all the answers

    When should high-risk patients undergo pelvic examinations and CA-125 level measurements?

    <p>Every six to 12 months</p> Signup and view all the answers

    What is advised for mutation carriers after childbearing is completed by the age of 35?

    <p>Prophylactic oophorectomy</p> Signup and view all the answers

    What is a possible risk factor for ovarian cancer according to some studies?

    <p>$BMI &gt; 30$</p> Signup and view all the answers

    What is the recommendation of the US Preventative Services Task Force regarding alcohol use for patients at risk for breast cancer?

    <p>Limit alcohol use, as even moderate intake increases risk</p> Signup and view all the answers

    Which medication is NOT recommended by the US Preventative Services Task Force for reducing the risk of breast cancer?

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

    What is the American Cancer Society's stance on monthly breast self-exams?

    <p>No longer recommends monthly self-exams</p> Signup and view all the answers

    At what age does the US Preventative Services Task Force recommend biennial mammograms?

    <p>50 to 74</p> Signup and view all the answers

    Which symptom may be a sign of advanced breast cancer?

    <p>Swelling and redness of the skin</p> Signup and view all the answers

    How should a patient be positioned for visualizing skin dimpling during a breast examination?

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

    What is the recommended daily dosage of tamoxifen for hormonal therapy?

    <p>$20$ milligrams twice daily</p> Signup and view all the answers

    'Peau d'orange' refers to a characteristic appearance associated with what condition?

    <p>Advanced breast cancer</p> Signup and view all the answers

    What is an indication for genetic testing in breast cancer based on the text?

    <p>Having a family member diagnosed with breast cancer at any age</p> Signup and view all the answers

    Which of the following is NOT listed as a risk factor for breast cancer in the text?

    <p>Having a family member with a BRCA mutation</p> Signup and view all the answers

    What would indicate the need for genetic testing in a patient with breast cancer according to the text?

    <p>Having triple negative ER or PR or HER2</p> Signup and view all the answers

    Which group of individuals is suggested to have an annual MRI beginning at age 30?

    <p>Individuals with a relative risk of 2.1 to 4.0 for breast cancer</p> Signup and view all the answers

    What is indicated by having a family member diagnosed with aggressive prostate cancer with a Gleason score greater than seven?

    <p>Indication for genetic testing</p> Signup and view all the answers

    Which condition would NOT typically lead to the recommendation of genetic testing according to the text?

    <p>Alcohol use</p> Signup and view all the answers

    What is suggested as a risk factor for breast cancer in patients with a relative risk of 1.1 to 2.0?

    <p>$2^{nd}$ degree relatives diagnosed at an early age</p> Signup and view all the answers

    What is the primary recommendation regarding screening for ovarian cancer in the general population?

    <p>Routine use of CA-125 and transvaginal ultrasound for screening is not advised</p> Signup and view all the answers

    What is a common challenge associated with the CA-125 tumor marker in ovarian cancer diagnosis?

    <p>It can be elevated in benign conditions, leading to false positives</p> Signup and view all the answers

    What is the recommended management approach for breast lesions less than three centimeters?

    <p>Observe, do yearly imaging, and reassure the patient</p> Signup and view all the answers

    Which tumor markers are recommended for epithelial ovarian tumors?

    <p>CA-125, CA-19-9, and CEA</p> Signup and view all the answers

    Which of the following is NOT a component of fibrocystic breast disease?

    <p>Keratin cysts</p> Signup and view all the answers

    What physical examination finding is characteristic in patients with confirmed or suspected ovarian cancer?

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

    What is the most common age group affected by intraductal papilloma?

    <p>35-50 years</p> Signup and view all the answers

    Which imaging study is recommended for evaluating suspected ovarian cancer in high-risk individuals with a family history of the disease?

    <p>CT scan with contrast of the abdomen and pelvis</p> Signup and view all the answers

    What is the role of CA 19-9 and CEA tumor markers in mucinous ovarian tumors?

    <p>They are better indicators of disease compared to CA-125</p> Signup and view all the answers

    What is the initial recommended dose of spironolactone for fibrocystic breast disease?

    <p>100 milligrams daily</p> Signup and view all the answers

    What symptom differentiates the acute presentation of ovarian cancer from other conditions?

    <p>Calf pain</p> Signup and view all the answers

    What increases the lifetime risk of breast cancer in women with intraductal papilloma?

    <p>Multiple papillomas</p> Signup and view all the answers

    What characteristic separates non-mucinous epithelial tumors from other ovarian cancers?

    <p><strong>Elevated inhibin A/B levels</strong> on diagnostic testing</p> Signup and view all the answers

    What is the primary reason behind the development of ductal ectasia?

    <p>Unknown etiology</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser