Surgery and Reconstruction for Breast Cancer

Descripción

Surgery and reconstruction for breast cancer given on 09/01/2019
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace casi 6 años
14
1

Resumen del Recurso

Pregunta 1

Pregunta
'Lumpectomy' is another term for Breast [blank_start]Conserving[blank_end] Surgery
Respuesta
  • Conserving

Pregunta 2

Pregunta
Apart from Breast Conserving Surgery, what is the other major type of breast surgery performed by oncoplastic breast surgeons? [blank_start]Mastectomy[blank_end]
Respuesta
  • Mastectomy

Pregunta 3

Pregunta
Breast Conserving Surgery alone has the same risk of relapse as receiving a Mastectomy.
Respuesta
  • True
  • False

Pregunta 4

Pregunta
[blank_start]Breast Conserving Surgery + Radiotherapy[blank_end] has a similar rate of relapse to Mastectomy, as in after either treatment plan you will have the same risk of the cancer relapsing.
Respuesta
  • Breast Conserving Surgery + Radiotherapy
  • Breast Conserving Surgery + Chemotherapy
  • Breast Conserving Surgery alone

Pregunta 5

Pregunta
Breast Conserving Surgery is conducted to excise breast masses [blank_start]leaving a clear margin of healthy tissue[blank_end]
Respuesta
  • leaving a clear margin of healthy tissue
  • by removing the entire breast
  • and all axillary lymph nodes

Pregunta 6

Pregunta
All operations conducted on the breast also include removal of ... for pathology.
Respuesta
  • All axillary lymph nodes
  • Some, but not all, of the axillary lymph nodes
  • All internal mammary lymph nodes
  • Some, but not all, of the internal mammary lymph nodes

Pregunta 7

Pregunta
Removing all lymph nodes during surgery typically leads to the patient developing which condition years down the line? [blank_start]Lymphoedema[blank_end]
Respuesta
  • Lymphoedema

Pregunta 8

Pregunta
Breast Conserving Surgery requires that a clear margin of what is considered as healthy tissue to be removed along with the cancer. At least how much of this tissue should be removed to create a clear margin around the excised tumour area?
Respuesta
  • >1mm
  • >2mm
  • >0.5mm
  • >3mm

Pregunta 9

Pregunta
Currently, what is used to tag impalpable tumours so that surgeons know what they are aiming to remove during an operation?
Respuesta
  • A metal wire
  • Gamma-sensitive tags
  • Fluorescent biomarkers

Pregunta 10

Pregunta
Which of the following adjuvant treatments is most effective in combination with chemotherapy/radiotherapy when treating breast cancer?
Respuesta
  • Herceptin (Trastuzumab)
  • Tamoxifen
  • Mifepristone

Pregunta 11

Pregunta
Mifepristone - [blank_start]Progesterone Receptor Antagonist[blank_end] Tamoxifen - [blank_start]Oestrogen Receptor Antagonist[blank_end] Herceptin (Trastuzumab) - [blank_start]HER2 Receptor Antagonist[blank_end]
Respuesta
  • Oestrogen Receptor Antagonist
  • Progesterone Receptor Antagonist
  • HER2 Receptor Antagonist
  • LH Receptor Antagonist

Pregunta 12

Pregunta
Which aromatase inhibitor is first line in the treatment of hormonally-responsive breast cancer specifically in postmenopausal women? [blank_start]Letrozole[blank_end]
Respuesta
  • Letrozole

Pregunta 13

Pregunta
Aromatase is the enzyme that catalyzes a key aromatization step in the synthesis of which key hormone? [blank_start]Oestrogen[blank_end]
Respuesta
  • Oestrogen

Pregunta 14

Pregunta
If a large area of breast is being removed from one side of the body, an oncoplastic surgeon will typically (with patient's permission) attempt to reconstruct the other breast as well so that the woman's breasts are as symmetrical as possible.
Respuesta
  • True
  • False

Pregunta 15

Pregunta
Removal of all breast tissue surgically is known as a [blank_start]mastectomy[blank_end]
Respuesta
  • mastectomy

Pregunta 16

Pregunta
Mastectomy with breast reconstruction often involves taking 'free flaps' which are areas of tissue taken from areas of excess elsewhere on the body. Which two of the following sites are common sites to be utilised for 'free flap' reconstruction?
Respuesta
  • Abdomen
  • Buttocks
  • Inner thigh
  • Calf
  • Upper middle back

Pregunta 17

Pregunta
Which muscle of the upper body is sometimes repositioned in order to mimic a breast? [blank_start]Latissimus Dorsi[blank_end]
Respuesta
  • Latissimus Dorsi

Pregunta 18

Pregunta
1 in 4 implants used in reconstructive surgery are lost due to which of the following?
Respuesta
  • Infection
  • Movement of implant away from breast
  • Disintegration of implant
  • Relapsing breast cancer

Pregunta 19

Pregunta
Which type of cancer is loosely associated with breast implants?
Respuesta
  • Lymphoma
  • Lipoma
  • Papilloma
  • Fibroadenoma
  • Ductal Carcinoma In Situ (DCIS)

Pregunta 20

Pregunta
Which type of breast reconstruction surgery is most popular following a mastectomy?
Respuesta
  • Implant Based
  • Autologous (Free flap, TRAM, etc)

Pregunta 21

Pregunta
Once implants are inserted following a mastectomy, they tend to be fixed in place and thus do not require revisional surgeries as the woman ages.
Respuesta
  • True
  • False

Pregunta 22

Pregunta
Which artery is connected to the umbilical skin when it is used as a graft for reconstructive surgery? The [blank_start]internal mammary[blank_end] artery
Respuesta
  • internal mammary

Pregunta 23

Pregunta
The [blank_start]inferior[blank_end] gluteal fold can also be used as a graft for breast reconstruction surgery.
Respuesta
  • inferior
  • superior
  • medial
  • lateral

Pregunta 24

Pregunta
The first axillary nodes to be drained by a cancer must be surgery removed upon any form of breast cancer surgery. These lymph nodes are known as the [blank_start]sentinel[blank_end] lymph nodes
Respuesta
  • sentinel

Pregunta 25

Pregunta
Axillary node clearance is mandatory for all breast cancer surgeries so that staging of the cancer can be conducted.
Respuesta
  • True
  • False

Pregunta 26

Pregunta
Are the internal mammary lymph nodes commonly operated upon during breast surgeries?
Respuesta
  • Yes
  • No

Pregunta 27

Pregunta
Creating bigger margins when excising breast cancers means that the patient is more less likely to have a recurrence of their breast cancer.
Respuesta
  • True
  • False
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