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trueger
breast path & repro pharm
58
Other
Not Applicable
05/21/2006

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Term
fibrocystic dz
Definition
diffuse br ain, mult lesions, often bil
bx=fibrocystic
no incr risk CA
Term
diffuse br ain, mult lesions, often bil
bx=fibrocystic
no incr risk CA
Definition
fibrocystic dz
Term
histo types of fibrocystic dz
Definition
fibrosis: hyperplasia of br stroma
cystic: fluid filled
sclerosing: up acini & intralob fibr
epith hyperplasia:up number of epith layers in term duct, up risk CA w. atyp cells. >30yo
Term
fibroadenoma (br)
Definition
most common br tumor <25yo
sm, mobile, firm w. sharp edges
up sz & tenderness w. preg
not premalign
Term
cystosarcoma phyllodes
Definition
lg, bulky mass of CT & cysts
may have leaflike projns
Term
intraductal papilloma
Definition
tumor of lactiferous ducts
nipple d/c
Term
most common br tumor <25yo
sm, mobile, firm w. sharp edges
up sz & tenderness w. preg
not premalign
Definition
fibroadenoma (br)
Term
lg, bulky mass of CT & cysts
may have leaflike projns
Definition
cystosarcoma phyllodes
Term
tumor of lactiferous ducts
nipple d/c
Definition
intraductal papilloma
Term
malign br CA gen
Definition
common post MP
arise fr mammary duct epith or lobular glands
overexpr estr/prog Rs or erb-B2 (Her-2) an EGF R
Term
DCIS
Definition
early malign w/o BM pen
Term
inv ductal CA
Definition
firm fibr mass
common
Term
comedoCA
Definition
ductal, cheesy cons due to centr necr
Term
infl CA
Definition
lymph involvement, poor progn (br CA)
Term
invasiv lobular CA
Definition
oft mult, bil (br CA)
Term
medullary CA (br)
Definition
fleshy, cellular, lympho infil, good progn
Term
pagets dz of breast
Definition
ecz patches on nipple
paget cells: lg, clr halo, suggest underlying CA
also seen in vulva
Term
brCA RFs
Definition
gender, age, menarche bf 12. primigrav post 30, mp post 50, famhx
Term
early malign w/o BM pen
Definition
DCIS
Term
firm fibr mass
common
Definition
inv ductal CA
Term
ductal, cheesy cons due to centr necr
Definition
comedoCA
Term
lymph involvement, poor progn (br CA)
Definition
infl CA
Term
oft mult, bil (br CA)
Definition
invasiv lobular CA
Term
fleshy, cellular, lympho infil, good progn
Definition
medullary CA (br)
Term
ecz patches on nipple
paget cells: lg, clr halo, suggest underlying CA
also seen in vulva
Definition
pagets dz of breast
Term
gender, age, menarche bf 12. primigrav post 30, mp post 50, famhx
Definition
brCA RFs
Term
finasteride
Definition
5a reductase inh
bph, prom hair growth
Term
flutamide
Definition
non-ster comp inh of testR
prostate CA
Term
ketoconazole, spironolactone
Definition
inh steroid synth
used in polycystic ov to prev hirsutism
Term
sildenafil, vardenafil MOA
Definition
inh cGMP phosphodiesterase -> up cGMP
sm m relax in corpus cav -> up BF -> erection
Term
sildenafil, vardenafil clin use
Definition
ED
Term
sildenafil, vardenafil SE
Definition
HA, flushing, dyspepsia, blue-green vision, life-threat hypoTN w. nitrates
Term
leuprolide MOA
Definition
GnRH analog
ag if puls, antag if cont
Term
leuprolide clin
Definition
infert (puls)
pros CA (cont, w. flutamide), uterine fibroids
Term
leuprolide SE
Definition
antiandr, N+V
Term
clomiphene MOA
Definition
partial ag at estrRs in pit
prevents nl feedback inh
-> up rel LH & FSH -> stim ovulation
Term
clomiphene clin use
Definition
tx infert
Term
clomiphene SE
Definition
hot flashes, ov enlgment, mult simult pregs, vis disturbs
Term
mifepristone MOA
Definition
comp inh progestR
Term
mifepristone clin use
Definition
abortifactant (prev impln)
Term
mifepristone SE
Definition
heavy bleeding, GI (N,V,anorex), abd pain
Term
OCP advs
Definition
reliable
dn risk endometr & ov CA
dn inc ectopic prg
dn pelvic infns
reg menses
Term
5a reductase inh
bph, prom hair growth
Definition
finasteride
Term
non-ster comp inh of testR
prostate CA
Definition
flutamide
Term
inh steroid synth
used in polycystic ov to prev hirsutism
Definition
ketoconazole, spironolactone
Term
inh cGMP phosphodiesterase -> up cGMP
sm m relax in corpus cav -> up BF -> erection
Definition
sildenafil, vardenafil MOA
Term
ED
Definition
sildenafil, vardenafil clin use
Term
HA, flushing, dyspepsia, blue-green vision, life-threat hypoTN w. nitrates
Definition
sildenafil, vardenafil SE
Term
GnRH analog
ag if puls, antag if cont
Definition
leuprolide MOA
Term
infert (puls)
pros CA (cont, w. flutamide), uterine fibroids
Definition
leuprolide clin
Term
antiandr, N+V
Definition
leuprolide SE
Term
partial ag at estrRs in pit
prevents nl feedback inh
-> up rel LH & FSH -> stim ovulation
Definition
clomiphene MOA
Term
tx infert
Definition
clomiphene clin use
Term
hot flashes, ov enlgment, mult simult pregs, vis disturbs
Definition
clomiphene SE
Term
comp inh progestR
Definition
mifepristone MOA
Term
abortifactant (prev impln)
Definition
mifepristone clin use
Term
heavy bleeding, GI (N,V,anorex), abd pain
Definition
mifepristone SE
Term
OCP disadv
Definition
daily
no STD protn
up TGs
depr, wt gn, N, HTN
hypercoag
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