Breast Flashcards

1
Q

Mass

A

Malignancy
Post-surgical scar
Fat necrosis
Radial Scar

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2
Q

Pleomorphic calcifications

A

DCIS
Atypical ductal hyperplasia
Fat necrosis
Fibrocystic change

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3
Q

Enlarged axillary nodes

A

Ipsilateral breast malignancy
Infection/ inflammation
Collagen vascular disease / RA
Lymphoproliferative disease
Metastasis
HIV adenopathy

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4
Q

Mammography - Smooth, low density lesion

A

simple cyst
oil cyst
fibroadenoma

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5
Q

US - Echoic lesion

A

Simple cyst
Complicated cyst
Duct ectasia
Intraductal / intracystic papilloma

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6
Q

Diffuse trabecular/skin thickening

A

Post-radiotherapy change
Progressive systemic sclerosis
Obstruction of the SVC
Lymphoma
Infection/ inflammatory mastitis
Trauma
Generalised oedema ( CHF, nephritic syndrome)

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7
Q

Benign appearing calcifications - rim, punctate, round

A

Calcified oil cyst
Dystrophic calcifications
Dermal calcifications
Fibrocystic change

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8
Q

Coarse calc in a partially circumscribed mass

A

Degenerating fibroadenoma (popcorn cals)
Fat necrosis
Oil cyst - Lucent mass with curvilinear rim calcs

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9
Q

Palpable circumscribed solid breast mass

A

Fibroadenoma
Circumscribed breast carcinoma - infiltrating ductal carcinoma (NOS), or medullary, mucinous, lymphoma , mets
Papilloma
Hamartoma

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10
Q

Fatty Breast Lesion

A

Lipoma
Hamartoma
Galactoceole
Fat necrosis
Oil cyst

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11
Q

Developing asymmetry

A

Invasive ductal carcinoma
Invasive lobular carcinoma
Pseudoangiomatous stromal hyperplasia - PASH
Asymmetric breast tissue
Stromal fibrosis
Fat necrosis

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12
Q

Unilateral breast skin thickening

A

Inflammatory breast cancer
Mastitis
Invasive breast cancer
Post-surgical/post-radiation changes
Subclavian vein thrombosis
Lymphoedema

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13
Q

Unilateral nipple/skin changes

A

Paget disease of the nipple
Mastitis
Inflammatory breast carcinoma
Nipple adenoma
Eczema of the breast

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14
Q

Axillary Lymphadenopathy

A

Breast cancer with lymph node spread
Lymphoma
Reactive lymphadenopathy
Mets from remote primary
Connective tissue/ granulomatous disorder
Castleman disease

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15
Q

Bilateral skin thickening

A

CHF
SVC obstruction
Bilateral lymphoedema
Renal failure and volume overload
Psoriasis

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16
Q

Unilateral nipple discharge

A

Intraductal papilloma
Mammary duct ectasia
Breast carcinoma
Fibrocystic change
galactorrhea

17
Q

Large solid breast mass

A

Phyllodes tumour
Fibroadenoma
Circumscribed breast carcinoma
Haematoma
Abscess

18
Q

Implant Intracapsular Rupture

A

Shell of the implant ruptures, fibrous capsule remains intact
Curvilinear hypo intense lines within the high signal silicone -> linguine sign
High signal silicone on both sides of the collapsed shell

19
Q

Implant Extracapsular Rupture

A

Fibrous capsule ruptures
Free silicon extrudes into the breast parenchyma