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    Breast Cancer Screening: Screening Management:: A. Dci

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    Charlie65129
    This document summarizes screening, evaluation, and management of breast cancer. It outlines screening guidelines including mammography and MRI for those at high risk. Evaluation of breast masses involves physical examination, imaging like mammography and biopsy if suspicious. Management depends on diagnosis and includes surgery, radiation, chemotherapy, hormone, and targeted therapies. Follow up involves ongoing screening, monitoring for recurrence, and management of side effects.

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    Breast Cancer Screening: Screening Management:: A. Dci

    Uploaded by

    Charlie65129
    40 views1 page
    This document summarizes screening, evaluation, and management of breast cancer. It outlines screening guidelines including mammography and MRI for those at high risk. Evaluation of breast masses involves physical examination, imaging like mammography and biopsy if suspicious. Management depends on diagnosis and includes surgery, radiation, chemotherapy, hormone, and targeted therapies. Follow up involves ongoing screening, monitoring for recurrence, and management of side effects.

    Original Title

    BREAST-CA 1

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    This document summarizes screening, evaluation, and management of breast cancer. It outlines screening guidelines including mammography and MRI for those at high risk. Evaluation of breast masses involves physical examination, imaging like mammography and biopsy if suspicious. Management depends on diagnosis and includes surgery, radiation, chemotherapy, hormone, and targeted therapies. Follow up involves ongoing screening, monitoring for recurrence, and management of side effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    40 views1 page

    Breast Cancer Screening: Screening Management:: A. Dci

    Uploaded by

    Charlie65129
    This document summarizes screening, evaluation, and management of breast cancer. It outlines screening guidelines including mammography and MRI for those at high risk. Evaluation of breast masses involves physical examination, imaging like mammography and biopsy if suspicious. Management depends on diagnosis and includes surgery, radiation, chemotherapy, hormone, and targeted therapies. Follow up involves ongoing screening, monitoring for recurrence, and management of side effects.

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    Screening: screening Evaluation of breast masses Management:

    BREAST CANCER mammography Surgery


    MRI for women Radiation therapy
    with genetic risk, untested Chemotherapy
    first-degree relatives of premenopausal postmenopausal Targeted therapy
    women with cancer, w/ hx of
    radiation therapy to chest bet.
    10 and 30 yrs, women with Questionable mass Dominant mass
    lifetime risk of breast CA of “thickening”
    at least 20%

    Risk factors: early menarche Mass Aspiratio


    Reexamine at
    Late first full-term pregnancy persists n
    follicular phase
    Late menopause
    of menstrual
    Central obesity
    cycle cyst Solid mass Mammogram
    Moderate alcohol intake
    Depression
    Long term use of hormone
    replacement therapy Mass gone Nonbloody Blood Suspicious Benig
    Radiation before age 30 y

    Routine Mammog
    ram and Management by triple FNA
    screening Biopsy diagnosis or biopsy
    biopsy B

    Observe
    Invasive Non-invasiv A. DCI
    S

    Breast CA Metastatic:
    - palliative
    Follow-up:
    * History; eliciting symptoms; PE every 3-6months
    for 3 years; every 6-12 months for 2 years; then
    annually
    * Breast self-exam monthly Stage III:
    * Mammography annually Early-stage breast CA: - locally advanced: may do surgery
    * Pelvic exam annually - lumpectomy - with chest wall involvement,
    * Ongoing px education about symptoms of - adjuvant systemic therapies: inflammatory breast CA, CA w/ large
    recurrence 1. Chemotherapy matted axillary LN: mastectomy then
    * Ongoing coordination of care 2. Endocrine radiotherapy to chest wall or to the
    * ongoing assessment of side effects if on 3. Anti-HER2 breast after tumor excision; regional LN
    endocrine therapy therapies treatment
    * ECG if on trastuzumab every 3 months; - adjuvant anti-HER2 and endocrine
    discontinue when trastuzumab therapy complete therapies, as appropriate
    1

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