Breast Disease/Pathology Flashcards

1
Q

Large duct lesions are often

benign/malignant

A

benign

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2
Q

Most common benign tumor in women

A

fibroadenoma

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3
Q

Most common change in the breasts of young women

A

fibrocystic changes

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4
Q

Most common cause of blood nipple discharge

A

intraductal papilloma

may infarct to cause blood nipple discharge

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5
Q

Invasive ductal carcinoma

invasion pattern

A

stellate configuration

often palpated as a rock hard mass

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6
Q

48% of women with invasive ductal carcinoma have this in their contralateral breast

A

DCIS

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7
Q

Which cancer puts both breasts at equal risk of carcinoma

A

lobular carcinoma

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8
Q

Coiled appearance on mammography

A

fibroadenoma

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9
Q

Paget of nipple

means what is hiding under the skin

A

a grade III (locally aggressive) ductal carcinoma

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10
Q

Inflammatory carcinoma of breast

pathology

A

invades into lymphatic and creates inflammation

also invades quickly via lymphatics

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11
Q

Lymph node drainage in breast
medial
lateral

A

medial: parasternal nodes
lateral: axillary nodes

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12
Q

Which breast cancer resembles and orange peel

A

inflammatory breast cancer

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13
Q

When does metastisis of breast cancer occur

A

whenever

can be late, even when no sign of the cancer is left

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14
Q

Mammography may pick up DCIS because it looks like

A

microcalcifications

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15
Q

Gold standard of diagnosis when mammography is abnormal

A

open Bx

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16
Q

Most Bx are now performed via

A

stereotactic needle core Bx

17
Q

Staging of cancer

A

I: less than 2 cm
II: greater than 2 cm
III: locally advanced (Paget)
IV: metastatic

18
Q

Lumpectomy vs radical mastectomy

A

same outcomes

19
Q

Phyllodes tumor

how does it spread

A

hematogenous spread

20
Q

Phyllodes tumor

what’s it look like

A

leaf-like, spongy, cystic

21
Q

Chronic lymphedema of arm can lead to this complication

A

angiosarcoma of arm