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Chapter 18. Breast Disorders
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Fibrocystic condition of the breast is
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B. Common in postmenopausal women
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C. Caused at least in part by estrogen stimulation of breast tissue
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D. Carries a threefold increased risk of breast cancer
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E. Does not actually include any cysts on histology
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The correct answer is C. Caused at least in part by estrogen stimulation of breast tissue
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Risk factors for breast cancer include
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C. BRCA1 mutation only in families of Ashkenazi Jewish descent
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D. A personal history of breast cancer
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The correct answer is D. A personal history of breast cancer
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Breast cancer screening in asymptomatic women
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A. Identifies about 2 cancers per 1000 women over age 50 years
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B. Identifies cancer without node involvement in about 80% of detected cases
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C. Includes a history, physical examination, bilateral mammogram and ultrasound for women between ages 40 and 50 years
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D. Is followed by a 5-year survival of 95% for women diagnosed through screening
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E. Should include all women yearly after the age of 30 years
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The correct answer is B. Identifies cancer without node involvement in about 80% of detected cases
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The clinical findings at breast cancer presentation most commonly include
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A. A painless mass identified by the patient
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B. A new mass discovered during a clinician physical examination (60% of cases)
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C. Nipple discharge (60% of cases)
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D. An axillary mass due to metastatic lymph nodes (40% of cases)
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The correct answer is A. A painless mass identified by the patient
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Axillary lymph node metastases from breast cancer
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A. Are not important for predicting patient survival in women with breast cancer
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