Benign Breast Disease

Question 1

benign proliferative lesion caused by lobular hyperplasia and formation of fibrous tissue that distorts the glandular elements; mimics?

Answer 1

sclerosing adenosis; may mimic DCIS with microcalcifications

Question 2

what is fibrocystic change

Answer 2

seen in premenopausal women; presents as cyciical breast pain

Question 3

cause of mastitis, pt population

Answer 3

S aureus; seen in diabetics or nursing mothers, smokers

Question 4

ddx for breast abscess

Answer 4

inflammatory carcinoma

Question 5

granulomatous mastitis

Answer 5

breast inflammation in young women afterchildbirth

associated with breast feeding/OCP

Question 6

periductal mastitis aka plasma cell mastitis

Answer 6

irritated contents of intraductal lipids

seen in postmenopausal women

Question 7

periductal mastitis imaging findings

Answer 7

large, rod-like secretory calcifications

Question 8

diabetic mastopathy

Answer 8

sequelae of long term IDDM; autoimmune reaction to matrix proteins from chronic hyperglycemia causes firm mass

Question 9

mammo/US findings of diabetic mastopathy

Answer 9

mammo: ill-defined asymmetric density w/o microcalcifications

US: hypoechoic mass/regional acoustic shadowing

Question 10

Mondor disease

Answer 10

thrombophletibitis of superficial vein of breast (thoracoepigastric vein)

pain/tenderness with a cordlike elongated superficial mass

Question 11

US of mondor disease

Answer 11

dilated bead-like tubular structure; no flow on doppler