Flashcards in The Surgical Review- Breast Deck (42)
what artery does the long thoracic nerve run with?
woman w a teardrop deformity of her breast and rapidly growing mass?
phyllodes tumor: careful, they can be confused clinically/radiographically/histologically with fibroadenoma
treatment of choice for phyllodes tumor? benign vs malignant?
wide local excision with at least 1cm margin for both benign and malignant, rarely go to lymph nodes
how do malignant phyllodes tumors spread?
strongest risk factor for development of angiosarcoma?
lymphedema, but can also arise in radiation naiive pts de novo
how do you differentiate angiosarcoma from hemangioma?
presence of necrosis
treatment of angiosarcoma?
wide excision to negative margin, no need to do SLNBx
what is batson plexus?
venules that encircle the vertebrae and course along the spine, path for metastasis of breast and prostate cancer to the spine/spinal cord
what is the single most important predictor of 10-20 year survival rates in breast ca?
number of axillary lymph nodes involved with metastatic dx
what is stewart treves syndrome?
deadly malignancy that forms in chronically edematous limbs ie lymphedema after modified radical mastectomy, mets to lungs early on, tx = wide excision and debridement often amputation
what is one connective tissue disorder that is NOT a contraindication to breast conserving treatment?
Rheumatoid arthritis (SLE and scleroderma are bc they may be exacerbated by radiation therapy)