Deck 38: Breast Cancer

Question 1

What T stage is a breast cancer that is a 1.5-cm tumor near the nipple?

A) Tis
B) T1
C) T2
D) T3
E) T4

Answer 1

B
As defined by the AJCC Staging System for Breast Cancer,a tumor 2 cm or less in any dimension is denoted as a T1.

Question 2

DCIS is classified as which stage?

A) stage 0
B) stage 1
C) stage 2
D) stage 3

Answer 2

A
Ductal carcinoma in situ is defined as the earliest stage of breast cancer and is associated with a stage 0 denotation.

Question 3

What T stage is a breast cancer that is a 1-cm tumor in the upper outer quadrant?

A) Tis
B) T1
C) T2
D) T3
E) T4

Answer 3

B
As defined by the AJCC Staging System for Breast Cancer,a tumor 2 cm or less in any dimension is denoted as a T1.

Question 4

What is the standard dose delivered to the tumor bed following tangential treatments?

A) 4500 to 5000 cGy
B) 5000 to 5600 cGy
C) 6000 to 6600 cGy
D) 7000 to 7600 cGy

Question 5

At what age should women of normal risk begin having regular annual screening mammograms?

A) 20
B) 30
C) 40
D) 50

Question 6

What T stage is a breast cancer that is a 3.5-cm tumor near the nipple?

A) Tis
B) T1
C) T2
D) T3
E) T4

Question 7

What is the stage of a breast cancer that has grown into the chest wall and has eight positive axillary lymph nodes?

A) IIA
B) IIB
C) IIIA
D) IIIB

Question 8

In which quadrant do most breast cancers occur?

A) upper outer
B) upper inner
C) lower outer
D) lower inner

Question 9

What T stage is a breast cancer that is a 9-cm tumor with skin invasion?

A) Tis
B) T1
C) T2
D) T3
E) T4

Question 10

What T stage is a breast cancer that is a 7-cm tumor in the upper outer quadrant with extension to the skin?

A) Tis
B) T1
C) T2
D) T3
E) T4

Question 11

Which treatment field arrangement is used to increase the midaxillary dose to the prescribed level in some patients?

A) intact breast tangents
B) chest wall tangents
C) supraclavicular field
D) PAB

Question 12

What is the medial treatment border when the internal mammary lymph nodes are to be included in the tangential field?

A) midline
B) 1 cm beyond midline to the contralateral side
C) 3 cm beyond midline to the contralateral side
D) 3 cm beyond midline to the ispalateral side

Question 13

The lower border of the breast extends to which rib?

A) 5th
B) 6th
C) 7th
D) 8th

Question 14

What is the standard dose delivered to the SCV field?

A) 4000 to 4600 cGy
B) 4500 to 5000 cGy
C) 5000 to 5600 cGy
D) 6000 to 6600 cGy

Question 15

What is the ligament holding the breast in place?

A) Cooper
B) Montgomery
C) Stoop
D) Paget

Question 16

Inflammatory breast cancer is always classified as which T stage?

A) T4a
B) T4b
C) T4c
D) T4d

Question 17

What T stage is a breast cancer that is a 3-cm tumor invading the chest wall?

A) Tis
B) T1
C) T2
D) T3
E) T4

Question 18

What stage is a inflammatory breast cancer that has not spread to distant organs but has distant lymph node involvement?

A) stage I
B) stage IIA
C) stage IIIA
D) stage IV

Question 19

What is the stage of a breast cancer that is 3 cm in greatest diameter with three positive axillary lymph nodes?

A) IIA
B) IIB
C) IIIA
D) IIIB

Question 20

What stage is a 6-cm breast cancer in the upper inner quadrant?

A) Tis
B) T1
C) T2
D) T3

Question 21

A woman's risk of developing breast cancer is 1 in 8.

Question 22

Radiation therapy is the only treatment necessary for T1 and T2 breast cancers.

Question 23

Breast implants at an early age increase a woman's risk of developing breast cancer.

Question 24

Breast cancer risk is influenced by hormonal variables; early menarche and late menopause increase the risk while oophorectomy before age 50 decreases the risk

Question 25

External beam radiotherapy for breast cancer irradiates the entire breast regardless of the tumor size.

Question 26

Most breast lumps feel hard and have irregular edges.

Question 27

Most breast cancers are infiltrating ductal carcinoma.

Question 28

Inverted nipples are always an indication of breast cancer.

Question 29

Which of the following techniques may be used to adequately irradiate the internal mammary lymph nodes while limiting the exposure to other organs?

A) AP 6 MV only
B) AP photon/electron combination
C) AP 6 MeV only
D) extended medial tangent

Question 30

The posterior axillary boost (PAB)field delivers 180 cGy to the axillary lymph nodes.

Question 31

Breast cancer is the most common cancer in women.