16.2 Benign Tumors and Fibrocystic Changes

Question 1

Fibrocystic Changes

Answer 1

Development of fibrosis and cysts and is described as lumpy breast often in UOQ - most common premenopausal change

Question 2

Is apocrine metaplasia a risk for carcinoma of the breast?

Answer 2

No

Question 3

Does ductal hyperplasia increase risk for carcinoma?

Answer 3

Yes - 2x

Question 4

Is sclerosising adenosis a risk for carcinoma?

Answer 4

Yes - 2x

Question 5

Is atypical hyperplasia a risk for carcinoma?

Answer 5

Yes - 5x

Question 6

Intraductal Papilloma

Answer 6

Development of a papillary lesion in the duct which can bleed leading to bloody discharge - often in premenopausal women

Question 7

What is the key difference between intraductal papilloma and carcinoma?

Answer 7

Carcinoma will lack myoepithelial cells and be more likely in post menopausal women

Question 8

Fibroadenoma

Answer 8

Tumor of fibrous tissues and glands that is a well circumscribed mobile marble like mass

Question 9

What is the most common benign tumor of the breast?

Answer 9

Fibroadenoma

Question 10

What can cause fibroadenoma to grow?

Answer 10

Estrogen

Question 11

Is there an increased risk for cancer with fibroadenoma?

Answer 11

No

Question 12

Phyllodes Tumor

Answer 12

Fibroadenoma like tumor with an overgrowth of the fibrous component with leaf like projections

Question 13

What patients are phyllodes tumors most often seen in?

Answer 13

Postmenopausal

Question 14

Can phyllodes tumors be malignant?

Answer 14

Yes