Breast Lump

Description

Mind Map on Breast Lump, created by Moza Almualla on 25/02/2019.
Moza Almualla
Mind Map by Moza Almualla, updated more than 1 year ago
Moza Almualla
Created by Moza Almualla almost 6 years ago
77
0

Resource summary

Breast Lump
  1. Normal structure and function of breast
    1. Pair of modified sweat glands
      1. Location
        1. Superficial fascia of pectoral region
        2. Functional parts
          1. Epithelial part
            1. Milk production
            2. Connective tissue part
              1. Make up and support
                1. Coopers Ligament
            3. Lymph drainage
              1. Hormones
                1. Estrogen
                  1. Ductal development
                  2. Progesterone
                    1. Lobular development and differentiation of epithelium
                    2. Prolactin
                      1. Lactogenesis
                    3. Tanner stages
                    4. Cancer
                      1. Epidemiology
                        1. Estimated Mortality rate worldwide (All ages)
                          1. UAE
                          2. Classification
                            1. Ductal
                              1. In situ (DCIS)
                                1. Malignant proliferation of the cell in ducts
                                  1. No invasion
                                    1. Mammography > calcification > biopsy
                                      1. Paget's disease
                                        1. DCIS involve the nipple
                                      2. Invasive
                                        1. Duct-like structure and desmoplastic stroma
                                          1. Present as a mass
                                            1. 4 subtypes
                                              1. Tubular
                                                1. Tubule lacks myoepithelial cells
                                                  1. Good prognosis
                                                  2. Medullary
                                                    1. High-grade cells / Lymphocytes / Plasma cells
                                                      1. Good prognosis
                                                        1. BRCA 1
                                                        2. Mucinous
                                                          1. Tubule in mucus pools
                                                            1. Good prognosis
                                                              1. Older women
                                                              2. Inflammatory
                                                                1. In dermal lymphatics
                                                                  1. Inflamed swollen breast
                                                                    1. Poor prognosis
                                                              3. Tubular / Lobular
                                                                1. In situ (LCIS)
                                                                  1. Malignant proliferation of the cell in lobule
                                                                    1. No invasion
                                                                      1. No mass or calcification
                                                                        1. Dyscohesive cells
                                                                          1. Multifocal and bilateral
                                                                            1. Responsd to tamoxifen
                                                                            2. Invasive
                                                                              1. Single file pattern
                                                                                1. Signet cell morphology
                                                                                  1. No duct formation
                                                                                    1. Lack E-cadherin
                                                                              2. Staining
                                                                                1. Estrogen and progesterone receptor
                                                                                  1. Designed antibodies against them
                                                                                    1. Inside the nucleus
                                                                                    2. HER2/neu amplification
                                                                                      1. A growth factor receptor
                                                                                        1. Designed antibodies against HER2 receptor
                                                                                          1. On the cell surface
                                                                                        2. Genetic mutations
                                                                                            1. Repair DNA damage
                                                                                              1. BRCA1 and BRCA2
                                                                                                1. ATM
                                                                                                  1. Ataxia-telangiectasia
                                                                                                  2. BRIP1
                                                                                                    1. BARD1
                                                                                                        1. Works with BRCA1
                                                                                                        2. MRE11A
                                                                                                          1. Ataxia-telangiectasia-like disorder
                                                                                                          2. NBN
                                                                                                            1. Nijmegen breakage syndrome
                                                                                                            2. RAD50
                                                                                                              1. MSH6 and PMS2
                                                                                                                1. Mismatch repair genes
                                                                                                                  1. Lynch syndrome
                                                                                                                  2. PALB2
                                                                                                                    1. Partner and localizer of BRCA 2
                                                                                                                      1. Breast cancer
                                                                                                                      2. RAD51C
                                                                                                                        1. Breast and ovarian cancer
                                                                                                                      3. Tumor suppressor gene
                                                                                                                        1. TP53
                                                                                                                          1. Li-Fraumeni syndrome
                                                                                                                          2. CHEK2
                                                                                                                            1. Cancer: breast / colon / prostate
                                                                                                                            2. PTEN
                                                                                                                              1. Cowden syndrome
                                                                                                                              2. STK11
                                                                                                                                1. Peutz Jegher syndrome
                                                                                                                              3. Helps cells to bind together
                                                                                                                                1. CDH1
                                                                                                                                  1. Stomach cancer / Invasive lobular breast cancer
                                                                                                                                2. Screening
                                                                                                                                  1. DNA Microarrays Technology
                                                                                                                                    1. Show the expression of the genes
                                                                                                                                3. Grading
                                                                                                                                  1. Grade 1
                                                                                                                                    1. Well differentiated
                                                                                                                                      1. Most like normal breast cells and usually slow-growing
                                                                                                                                    2. Grade 2
                                                                                                                                      1. Moderately differentiated
                                                                                                                                        1. Less like normal cells and is growing faster
                                                                                                                                      2. Grade 3
                                                                                                                                        1. Poorly differentiated
                                                                                                                                          1. Different to normal breast cells and is usually fast-growing
                                                                                                                                      3. Staging
                                                                                                                                        1. TNM staging system
                                                                                                                                          1. 5 stages
                                                                                                                                            1. T: Tumor
                                                                                                                                              1. N: Lymph node
                                                                                                                                                1. M: Metastasis
                                                                                                                                              2. Molecular classification
                                                                                                                                                1. Luminal A
                                                                                                                                                  1. Hormone-receptor positive (ER and/or PR positive)
                                                                                                                                                    1. HER2 negative
                                                                                                                                                    2. Luminal B
                                                                                                                                                      1. Hormone-receptor positive (ER and/or PR positive)
                                                                                                                                                        1. Faster than luminal A
                                                                                                                                                          1. HER2 either positive or negative
                                                                                                                                                          2. Triple-negative/basal-like
                                                                                                                                                            1. Hormone-receptor negative (ER and PR negative)
                                                                                                                                                              1. Common in BRCA 1mutation
                                                                                                                                                                1. HER2 negative
                                                                                                                                                                2. HER2-enriched
                                                                                                                                                                  1. Hormone-receptor negative (ER and PR negative)
                                                                                                                                                                    1. HER2 positive
                                                                                                                                                                    2. Normal-like
                                                                                                                                                                      1. Similar to luminal A
                                                                                                                                                                        1. Worse prognosis than luminal A
                                                                                                                                                                      2. Factors
                                                                                                                                                                        1. Risk
                                                                                                                                                                          1. Female gender
                                                                                                                                                                            1. Advancing age
                                                                                                                                                                              1. Family history
                                                                                                                                                                                1. Ethnicity
                                                                                                                                                                                  1. Early menstrual period
                                                                                                                                                                                  2. Protective
                                                                                                                                                                                    1. Healthy weight
                                                                                                                                                                                      1. Breastfeeding
                                                                                                                                                                                        1. Limiting alcohol intake
                                                                                                                                                                                          1. Exercise
                                                                                                                                                                                            1. Multiple pregnancy
                                                                                                                                                                                          2. Diagnosis
                                                                                                                                                                                            1. Examinations
                                                                                                                                                                                              1. Physical
                                                                                                                                                                                                1. Self
                                                                                                                                                                                                2. Investigations
                                                                                                                                                                                                  1. Mammogram
                                                                                                                                                                                                    1. Types
                                                                                                                                                                                                      1. Screening
                                                                                                                                                                                                        1. Diagnostic
                                                                                                                                                                                                        2. Disadvantages
                                                                                                                                                                                                          1. False-positive results
                                                                                                                                                                                                            1. Overdiagnosis and overtreatment
                                                                                                                                                                                                              1. False-negative results
                                                                                                                                                                                                            2. Ultrasound
                                                                                                                                                                                                              1. Detect abnormality type
                                                                                                                                                                                                              2. MRI
                                                                                                                                                                                                                1. Screening high-risk women
                                                                                                                                                                                                                  1. Monitoring treatment
                                                                                                                                                                                                                  2. Biopsy
                                                                                                                                                                                                                    1. Fine needle aspiration biopsy
                                                                                                                                                                                                                      1. Core needle biopsy
                                                                                                                                                                                                                        1. Vacuum-assisted breast biopsy (guided)
                                                                                                                                                                                                                          1. Surgical Biopsy
                                                                                                                                                                                                                          2. Blood tests
                                                                                                                                                                                                                            1. Markers
                                                                                                                                                                                                                              1. CA 15.3 / TRU-QUANT/ CA 27.29 / CA125
                                                                                                                                                                                                                                1. Progression / Recurrence / Expensive
                                                                                                                                                                                                                          3. Management
                                                                                                                                                                                                                            1. Local
                                                                                                                                                                                                                              1. Surgery
                                                                                                                                                                                                                                1. Lumpectomy
                                                                                                                                                                                                                                  1. Mastectomy
                                                                                                                                                                                                                                    1. Subtypes
                                                                                                                                                                                                                                      1. Radical mastectomy
                                                                                                                                                                                                                                        1. Modified radical mastectomy
                                                                                                                                                                                                                                          1. Simple mastectomy
                                                                                                                                                                                                                                            1. Skin-sparing mastectomy
                                                                                                                                                                                                                                            2. Pre-operative management
                                                                                                                                                                                                                                              1. Discontinuation of Aspirin
                                                                                                                                                                                                                                                1. Echocardiogram
                                                                                                                                                                                                                                                  1. Chest X-ray
                                                                                                                                                                                                                                                2. To remove lymph nodes
                                                                                                                                                                                                                                                  1. Sentinel lymph node biopsy (SLNB)
                                                                                                                                                                                                                                                    1. Axillary lymph node dissection (ALND)
                                                                                                                                                                                                                                                      1. Surgery for advanced breast cancer
                                                                                                                                                                                                                                                      2. Breast reconstruction
                                                                                                                                                                                                                                                        1. Implant reconstruction
                                                                                                                                                                                                                                                          1. Autologous or "flap" reconstruction
                                                                                                                                                                                                                                                            1. Tissue expansion
                                                                                                                                                                                                                                                          2. Radiation Therapy
                                                                                                                                                                                                                                                          3. Systemic
                                                                                                                                                                                                                                                            1. Chemotherapy
                                                                                                                                                                                                                                                              1. Neoadjuvant
                                                                                                                                                                                                                                                                1. Adjuvant
                                                                                                                                                                                                                                                                2. Hormonal therapy
                                                                                                                                                                                                                                                                  1. ER or PR positive breast cancer
                                                                                                                                                                                                                                                                  2. Targeted therapy
                                                                                                                                                                                                                                                                    1. HER2-positive breast cancer
                                                                                                                                                                                                                                                                  3. Post-operative pain
                                                                                                                                                                                                                                                                    1. Short-acting anesthetic bupivacaine
                                                                                                                                                                                                                                                                      1. Psychoeducation
                                                                                                                                                                                                                                                                      2. Follow up
                                                                                                                                                                                                                                                                        1. Doctor visits
                                                                                                                                                                                                                                                                          1. Mammograms
                                                                                                                                                                                                                                                                            1. Pelvic exams
                                                                                                                                                                                                                                                                              1. Bone density tests
                                                                                                                                                                                                                                                                                1. Other tests
                                                                                                                                                                                                                                                                              2. Prognosis
                                                                                                                                                                                                                                                                                1. Depends on many factors
                                                                                                                                                                                                                                                                                  1. 5-year survival rate
                                                                                                                                                                                                                                                                                    1. Average is 90%
                                                                                                                                                                                                                                                                                      1. Located only in breast is 99%
                                                                                                                                                                                                                                                                                        1. In regional lymph nodes is 85%
                                                                                                                                                                                                                                                                                          1. In metastasis is 27%
                                                                                                                                                                                                                                                                                          2. 10-year survival rate is 83%
                                                                                                                                                                                                                                                                                        Show full summary Hide full summary

                                                                                                                                                                                                                                                                                        Similar

                                                                                                                                                                                                                                                                                        Ionic Bondic Flashcards.
                                                                                                                                                                                                                                                                                        anjumn10
                                                                                                                                                                                                                                                                                        Cultural Studies
                                                                                                                                                                                                                                                                                        Emily Fenton
                                                                                                                                                                                                                                                                                        Restless Earth Notes
                                                                                                                                                                                                                                                                                        Gladys Mba
                                                                                                                                                                                                                                                                                        GCSE Subjects
                                                                                                                                                                                                                                                                                        KimberleyC
                                                                                                                                                                                                                                                                                        GCSE AQA Biology 1 Adaptations, Competition & Environmental Change
                                                                                                                                                                                                                                                                                        Lilac Potato
                                                                                                                                                                                                                                                                                        An Inspector Calls- Quotes
                                                                                                                                                                                                                                                                                        ae14bh12
                                                                                                                                                                                                                                                                                        Contract Law
                                                                                                                                                                                                                                                                                        sherhui94
                                                                                                                                                                                                                                                                                        What are assessments and what do they measure?
                                                                                                                                                                                                                                                                                        mtyler12008
                                                                                                                                                                                                                                                                                        Salesforce Admin 201 Test Chunk 4 (91-125)
                                                                                                                                                                                                                                                                                        Brianne Wright
                                                                                                                                                                                                                                                                                        AAHI_Card set 5 (Vital sign terminology)
                                                                                                                                                                                                                                                                                        Tafe Teachers SB
                                                                                                                                                                                                                                                                                        AAHI_Card set 3 (Vital sign parameters - Adult)
                                                                                                                                                                                                                                                                                        Tafe Teachers SB