B8-034 Fibrocystic Breast Mass

Question 1

what patient populations should be evaluated for breast cancer risk by 30 [2]

Answer 1

black women
ashkenazi jewish women

Question 2

most common additional screening test for breast cancer after mammogram

Answer 2

US

Question 3

dense breast tissue increases risk of cancer […]x

Answer 3

4-5

(but hard for radiologist to read)

Question 4

[…] shift work increases risk of breast cancer

Answer 4

night

Question 5

breast are more dense in [younger/older] patients

Answer 5

younger

(turns into fat with age)

Question 6

most common benign breast mass

Answer 6

fibroadenoma

Question 7

tumor composed of fibrous tissue and glands
size/tenderness increases with estrogen

Answer 7

fibroadenoma

Question 8

benign, usually painless lump due to injury to breast tissue

Answer 8

fat necrosis

(50% of patients may not report trauma)

Question 9

calcified oil cyst on mammography
necrotic fat and giant cells on biopsy

Answer 9

fat necrosis

Question 10

cystic collection of retained milk from obstructed duct

Answer 10

galactocele

Question 11

localized inflammation of the breast associated with fever, myalgias, breast pain, and redness in breastfeeding woman

Answer 11

mastitis

Question 12

antibiotic treatment for lactational mastitis

Answer 12

dicloxacillin

Question 13

Bacterial infection of the breast, usually due to S. aureus

Answer 13

acute mastitis

Question 14

Associated with breast-feeding; fissures develop in the nipple providing a route of entry for microbes

Answer 14

acute mastitis

Question 15

Presents as an erythematous breast with purulent nipple discharge; may progress to abscess formation

Answer 15

acute mastitis

Question 16

treatment of acute mastitis

Answer 16

continued breastfeeding
dicloxacillin

Question 17

Necrosis of breast fat
Usually related to trauma; however, a history of trauma may not always be evident

Answer 17

fat necrosis

Question 18

Presents as a mass on physical exam or abnormal calcification on mammography
(due to saponification)

Answer 18

fat necrosis

Question 19

Biopsy shows necrotic fat with associated calcifications and giant cells

Answer 19

fat necrosis

Question 20

Development of fibrosis and cysts in the breast

Presents as vague irregularity of the breast tissue (‘lumpy breast’), usually in the upper outer quadrant of postmenopausal women

Answer 20

fibrocystic changes

Question 21

Cysts have a blue-dome appearance on gross exam

Answer 21

fibrocystic change

Question 22

fibrocystic change is benign, but some fibrocystic-related changes are associated with an increased risk
for […]

Answer 22

invasive carcinoma

1. Fibrosis, cysts, and apocrine metaplasia -no increased risk
2. Ductal hyperplasia and sclerosing adenosis- 2x increased risk
3. Atypical hyperplasia-5x increased risk

Question 23

Tumor of fibrous tissue and glands

Most common benign neoplasm of the breast; usually seen in premenopausal
women

Answer 23

fibroadenoma

Question 24

Presents as a well-circumscribed, mobile marble-like mass

Estrogen sensitive- grows during pregnancy and may be painful during the menstrual cycle

Answer 24

fibroadenoma

Question 25

is fibroadenoma associated with an increased risk of carcinoma?

Answer 25

no, completely benign

Question 26

there is insufficient evidence to recommend mammograms in patients over […]

Answer 26

75