GYN: dem titties

Question 1

ovoid form mobile mass in women under 30 years of age and is often sensitive to fluctuating estrogen. Often located in upper outer quadrant

Answer 1

Fibroadenoma

Question 2

unilateral, irregular, firm breast mass, sometimes with ecchymosis

Answer 2

fat necrosis

Question 3

Multiple small cyclically tender masses with diffuse nodularity in both breasts

Answer 3

fibrocystic changes

Question 4

mass that occurs in breast feeding and is usually soft and cystic

Answer 4

galactocele, caused by obstructed duct

Question 5

can present as unilateral isolated breast mass, subareolar (not in outer quadrants), and associated with nipple discharge

Answer 5

mammary duct ectasia

Question 6

Can start as a unulateral frim well circumscribed mobile mass but can grow larger resulting in changes to contour of breast, skin, etc

Answer 6

phyllodes

Question 7

how does nipple discharge in mammary duct ectasia differ than that of an IDC?

Answer 7

IDC= bloody, Mammary Duct Ectasia= greenish brown and sticky

Question 8

Unilateral bloody discharge WITHOUT an associated mass

Answer 8

intraductal papilloma

Question 9

What are the differences seen in physiologic vs pathologic discharge?

Answer 9

Question 10

Bloody discharge, unilateral, with associated mass

Answer 10

invasive ductal carcinoma

Question 11

Invasion of the lactiferous ducts will present on PE with…

Answer 11

nipple retraction

Question 12

Epidermal infiltration by neoplastic cells is seen on PE with

Answer 12

nipple scaling or ulceration

Question 13

Invasion of cooper’s ligaments is observed on PE with..

Answer 13

skin retraction

Question 14

obstruction of dermal lymphatics is seen with what PE finding?

Answer 14

peau d’orange

Question 15

Invasion of adjacent breast tissue is marked by what PE finding?

Answer 15

fixed mass

Question 16

characterized by subareolar ductal dilation, inflammation, and fibrosis, can cause a palpable breast mass (from scar tissue) with nipple discharge; however, the nipple discharge is classically green-brown and sticky (vs bloody), the mass is classically subareolar (vs peripheral), and involvement of the breast suspensory ligaments (ie, skin retraction) is not expected.

Answer 16

Mammary Duct Ectasia