Chapter 17: Breast Disorders

Chapter 17. Breast Disorders

Fibrocystic condition of the breast is

A. Communicable disease

B. Common in postmenopausal women

C. Caused at least in part by estrogen stimulation of breast tissue

D. Carries a threefold increased risk of breast cancer

E. Does not actually include any cysts on histology

C. Caused at least in part by estrogen stimulation of breast tissue

Risk factors for breast cancer include

A. Early childbearing

B. Iodine deficiency

C. BRCA1 mutation only in families of Ashkenazi Jewish descent

D. A personal history of breast cancer

E. None of the above

D. A personal history of breast cancer

Breast cancer screening in asymptomatic women

A. Identifies about 2 cancers per 1000 women over age 50 years

B. Identifies cancer without node involvement in about 80% of detected cases

C. Includes a history, physical examination, bilateral mammogram, and ultrasound for women between ages 40 and 50 years

D. Is followed by a 5-year survival of 95% for women diagnosed through screening

E. Should include all women yearly after the age of 30 years

B. Identifies cancer without node involvement in about 80% of detected cases

The clinical findings at breast cancer presentation most commonly include

A. A painless mass identified by the patient

B. A new mass discovered during a clinician physical examination (60% of cases)

C. Nipple discharge (60% of cases)

D. An axillary mass due to metastatic lymph nodes (40% of cases)

E. None of the above

A. A painless mass identified by the patient

Axillary lymph node metastases from breast cancer

A. Are not important for predicting patient survival in women with breast cancer

B. Are generally palpable if present

C. Can be reliably detected by sestamibi scintigraphy

D. Can be reliably detected by sentinel lymph node biopsy in women with clinically uninvolved axillary lymph nodes

E. Are frequently present in residual lymph nodes when sentinel lymph node biopsy shows no evidence of disease

D. Can be reliably detected by sentinel lymph node biopsy in women with clinically uninvolved axillary lymph nodes

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