Breast Disease

Question 1

Ruptured cyst

Answer 1

Benign breast

Stellate scar appearance

Question 2

Gynecomastia

Answer 2

Benign breast
No lobules b/c male
Will self resolve in young boy

Question 3

Fibroadenoma

Answer 3

Benign breast
Well-circumscribed mass
Epithel and stromal cells
Most common benign breast neoplasm

Question 4

Abscess

Answer 4

Benign breast
Infected keratin plug in older ppl or breast feeding
Fistula forms on areola side

Question 5

Papilloma

Answer 5

Benign breast
Bloody nipple discharge
Epithel over fibrovascular core

Question 6

Phyllodes tumor

Answer 6

A type of fibroadenoma w/ epithel, stromal cells
Biphasic benign/malignant
Leaf-like projections

Question 7

Breast disease evaluation & diagnosis

Answer 7

Mammography/US/MRI

Needle biopsy

Question 8

Fibrocystic change

Answer 8

Benign breast

Blue dome calcification

Question 9

Ductal Carcinoma In Situ

Answer 9

Comedo histo- central necrosis and calcification in duct

Paget’s Disease- ductal extend into skin= ulceration and crusty

Question 10

Invasive inflammatory ductal carcinoma

Answer 10

Red, painful, swollen breast b/c tumor cells prevent lymph drainage
Dimpling Peau d’ Orange
Nipple retraction
Poor prognosis, rly aggressive

Question 11

Invasive lobular carcinoma

Answer 11

Targetoid appearance w/ malignant dense fibrous tissue surrounding normal