Primary Therapy For Breast Cancer

July 9, 2009 · Posted in BREAST SURGERY · Comment 


62 PRIMARY THERAPY FOR BREAST CANCER
Benjamin O. Anderson M.D.

1. How is breast cancer diagnosed?

Show answer
A diagnosis requires tissue confirmation by needle sampling or surgical biopsy. Excisional biopsy is the gold standard: the preferred initial diagnostic method has become core-needle biopsy or fine-needle aspiration (FNA). Needle sampling (1) allows complete operative planning, including decisions about lumpectomy margins or the use of sentinel node mapping and (2) does not distort the breast shape or architecture for future clinical breast examination (CBE) and breast imaging.
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Primary Therapy For Breast Cancer

July 9, 2009 · Posted in BREAST SURGERY · Comment 

62 PRIMARY THERAPY FOR BREAST CANCER
Benjamin O. Anderson M.D.

1. How is breast cancer diagnosed?

Show answer
A diagnosis requires tissue confirmation by needle sampling or surgical biopsy. Excisional biopsy is the gold standard: the preferred initial diagnostic method has become core-needle biopsy or fine-needle aspiration (FNA). Needle sampling (1) allows complete operative planning, including decisions about lumpectomy margins or the use of sentinel node mapping and (2) does not distort the breast shape or architecture for future clinical breast examination (CBE) and breast imaging.
Read more

Breast Masses

July 9, 2009 · Posted in BREAST SURGERY · Comment 

61 BREAST MASSES
Christina A. Finlayson M.D.

1. What are the three parts of breast screening that assist in the early diagnosis of breast cancer?

Show answer
Breast self-examination (BSE) should begin at age 20 years and should be performed monthly. The breast is usually easiest to examine on the days immediately after the menstrual cycle. BSE can be frustrating to patients, particularly when they have fibrocystic changes, because they are not certain what they are feeling or supposed to feel. The BSE technique should be taught early and reinforced regularly. Women who regularly perform BSE present with tumors 1 cm or smaller more frequently than women who do not perform BSE. BSE has yet to translate into a survival benefit, however. Some women are spooked by repetitive false-positive findings. These women need to rely on their physicians to perform a breast examination once a year.
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