Loading....
Coupon Accepted Successfully!

Surgery

Open Flashcards

Breast

Question
16 out of 93
 

Intraductal carcinoma breast, treatment of choice is:



A Microdochectomy

B MRM (modified Radical Mastectomy)

C Radical mastectomy

D Radiotherapy

Ans. B MRM (modified Radical Mastectomy) (REF. SCHWARTZ SURGERY 8TH EDN PG 470-480)

a. Women with DCIS and evidence of widespread disease (two or more quadrants) require mastectomy.

b. For women with limited disease, lumpectomy and radiation therapy are recommended. Low-grade DCIS of the solid, cribriform, or papillary subtype, which is less than 0.5 cm in diameter, may be managed by lumpectomy alone.

c. For nonpalpable DCIS, needle localization techniques are used to guide the surgical resection.Specimen mammography is performed to ensure that all visible evidence of cancer is excised.

d. Adjuvant tamoxifen therapy is considered for all DCIS patients.

e. Women treated with mastectomy have local recurrence and mortality rates of less than 2%.

f. The recurrence of DCIS was greatest when the cancers were more than 2.5 cm in size

g. Recurrences frequently occurred within the original surgery site, indicating that inadequate clearance of DCIS, rather than the biology of the cancer, was responsible.

Breast Flashcard List

93 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
31)
32)
33)
34)
35)
36)
37)
38)
39)
40)
41)
42)
43)
44)
45)
46)
47)
48)
49)
50)
51)
52)
53)
54)
55)
56)
57)
58)
59)
60)
61)
62)
63)
64)
65)
66)
67)
68)
69)
70)
71)
72)
73)
74)
75)
76)
77)
78)
79)
80)
81)
82)
83)
84)
85)
86)
87)
88)
89)
90)
91)
92)
93)