Breast

Question 1

Coding of cytopathology of breast lumps

Answer 1

C1 = inadequate
C2 = benign
C3 = atypia, probably benign
C4 = suspicious of malignancy
C5 = malignant

Question 2

What is duct ectasia

Answer 2

Inflammation and dilation of large breast ducts.

Question 3

How does DE present

Answer 3

Breast pain, thick white nipple discharge

Question 4

Symptoms of acute mastitis

Answer 4

Presentation: painful, red breast, hot to touch and fever

• Either lactational (more common)- caused by staph or non-lactational

Question 5

What is fat necrosis

Answer 5

Inflammatory reaction to damaged adipose tissue (typically obese, middle- aged women). after trauma, surgery act

Question 6

How does FN present

Answer 6

Presents as painless breast mass/skin thickening/mammographic lesion (may mimic carcinoma displaying skin tethering/niplle retraction)

Question 7

What is fibrocystic disease

Answer 7

A group of alterations in the breast which reflect normal, albeit exaggerated, responses to hormonal influences.

Question 8

Presentation of FC disease

Answer 8

Presents with breast lumpi

Question 9

What is a fibroadenoma an how does it present

Answer 9

A benign fibroepithelial neoplasm of the breast.
Common.
Presents as a circumscribed mobile breast lump in young women aged 20-30.

Question 10

What are Phyllodes tumours and how do they present

Answer 10

A group of potentially aggressive fibroepithelial neoplasms of the breast.
Uncommon tumours.
Present as enlarging masses in women aged over 50
Arrise from interlobular stroma

Question 11

What are intradictal papilloma and how do they present

Answer 11

Benign papillary tumour arising within the duct system of the breast.
o Small terminal ductules - peripheral papillomas)
o Larger lactiferous ducts - central papillomas
• Causes bloody discharge.
• Not seen on mammogram.