Breast Flashcards
MC and deadly malignancy of women globally
Breast Carcinoma
Lifetime exposure to estrogen
Nulliparity
Early menarche
Late menopause
Primiparity at >35 y/o
BRCA1 Ch17 more associated with
Ovarian malignancy
BRCA2 Ch13 associated with
Male breast Cancer
may be ER positive
it encodes E-cadherin
CDH1 Ch16
loss of expression is seen in ALH, LCIS, ILC
treatment for Luminal A and B (ER+, HER-)
Tamoxifen
Treatment for HER2+
Transtuzumab
treatment for triple negative breast Ca
Chemotherapy
Immunotherapy PD-L1 inhibitors
malignant epithelial cells within ducts
+ mass (periductal fibrosis)
mammography: Calcifications
mild-severe nuclear atypia
Ductal Carcinoma in situ
Discohesive growth of malignant cells due to E-cadherin loss
monomorphic with mild atypia
LCIS
MC type Carcinoma
Invasive BCa
hard mass – prominent desmoplasia
MC benign tumor of the female breast
Fibroadenoma
proliferation of stromal and epithelial elements
smaller lesion
younger women
stromal > epithelial component
leaf like stromal projections
well circumscribed to infiltrative
older women
Phyllodes tumor