Nonneoplastic lesions of Breast Flashcards
Acute mastitis is caused by _______________
staph and strept
What condition is associated with breastfeeding?
Acute mastitis
What condition is associated with smoking and vitamin A deficiency?
Periductal Mastitis/Subareolar abscess/Zuska disease/Squamous metaplasia of lactiferous duct (SMOLD)
What condition is associated with trauma?
Fat necrosis
Lesions common in menopausal age group?
Mammary duct ectasia
Intraductal Papilloma
Papillary CA
Phyllodes tumor
Fibrocystic changes and fibroadenoma are associated with?
Hormone (premenopausal)
Marble-like mass that has no increased risk of carcinoma is _______________
Fibroadenoma
An elderly lady comes to you complaining of a lump in her right breast. On biopsy, leaf-like projections are seen with fibrous component. What is your Diagnosis?
Phyllodes tumor
A young pregnant lady presents to you with complaint of
A young pregnant lady presents to you with complaint of
A young pregnant lady presents to you with complaint of
A young pregnant lady presents to you with complaint of
A young pregnant lady presents to you with complaint of
A young pregnant lady presents to you with complaint of a lump in her left breast that has been growing since her pregnancy. What is the possible diagnosis? And any symptom present in this specific condition.
Fibroadenoma
Painful during menstruation
Inflammation with dilatation of the subareolar ducts
Greenish brown nipple discharge
Plasma cells seen on biopsy.
What is your diagnosis?
Mammary duct ectasia
What condition mimics carcinoma of breast on physical examination?
Fat necrosis (mass and abn calcifications)
A lady presents to you with complaint of pain and redness at one side of the breast. She is concerned about the purulent discharge. What advice and medicine would you prescribe?
Keep breastfeeding
Antibiotic like Dicloxacillin (Acute mastitis)
Features of SMOLD
Keratinizing squamous metaplasia of nipple ducts
Fistula opening
Nipple retraction
Intraductal Papilloma is characterized by _________________ lined by _____________ and _____________ cells with bloody nipple discharge
fibrovascular core
Epithelial and myoepithelial cells
Papillary CA differs from intraductal papilloma by ______________
absence of myoepithelial cells
What is sclerosis adenosis?
Increase in acini and fibrosis
_________________ presents as vague irregularity of the breast tissue (lumpy breast) usually in the __________ outer quadrant
Fibrocystic changes
upper outer quadrant
Fibrocystic change has cysts which have a ______________ appearance on gross exam
blue dome
Fibrous cyst and apocrine metaplasia
Ductal hyperplasia and sclerosing adenosis
Atypical hyperplasia
(State % of risk of developing invasive carcinoma)
Fibrous cyst and apocrine metaplasia - no risk
Ductal hyperplasia and sclerosing adenosis - 2x risk
Atypical hyperplasia - 5x risk
