Nonneoplastic lesions of Breast Flashcards by Tesla Trooper | Brainscape

Q

Acute mastitis is caused by _______________

A

staph and strept

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Q

What condition is associated with breastfeeding?

A

Acute mastitis

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Q

What condition is associated with smoking and vitamin A deficiency?

A

Periductal Mastitis/Subareolar abscess/Zuska disease/Squamous metaplasia of lactiferous duct (SMOLD)

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Q

What condition is associated with trauma?

A

Fat necrosis

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Q

Lesions common in menopausal age group?

A

Mammary duct ectasia
Intraductal Papilloma
Papillary CA
Phyllodes tumor

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Q

Fibrocystic changes and fibroadenoma are associated with?

A

Hormone (premenopausal)

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Q

Marble-like mass that has no increased risk of carcinoma is _______________

A

Fibroadenoma

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Q

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?

A

Phyllodes tumor

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Q

A young pregnant lady presents to you with complaint of

A

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Q

A young pregnant lady presents to you with complaint of

A

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Q

A young pregnant lady presents to you with complaint of

A

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Q

A young pregnant lady presents to you with complaint of

A

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Q

A young pregnant lady presents to you with complaint of

A

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Q

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.

A

Fibroadenoma
Painful during menstruation

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Q

Inflammation with dilatation of the subareolar ducts
Greenish brown nipple discharge
Plasma cells seen on biopsy.
What is your diagnosis?

A

Mammary duct ectasia

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Q

What condition mimics carcinoma of breast on physical examination?

A

Fat necrosis (mass and abn calcifications)

Q

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?

A

Keep breastfeeding
Antibiotic like Dicloxacillin (Acute mastitis)

Q

Features of SMOLD

A

Keratinizing squamous metaplasia of nipple ducts
Fistula opening
Nipple retraction

Q

Intraductal Papilloma is characterized by _________________ lined by _____________ and _____________ cells with bloody nipple discharge

A

fibrovascular core
Epithelial and myoepithelial cells

Q

Papillary CA differs from intraductal papilloma by ______________

A

absence of myoepithelial cells

Q

What is sclerosis adenosis?

A

Increase in acini and fibrosis

Q

_________________ presents as vague irregularity of the breast tissue (lumpy breast) usually in the __________ outer quadrant

A

Fibrocystic changes
upper outer quadrant

Q

Fibrocystic change has cysts which have a ______________ appearance on gross exam

A

blue dome

Q

Fibrous cyst and apocrine metaplasia
Ductal hyperplasia and sclerosing adenosis
Atypical hyperplasia
(State % of risk of developing invasive carcinoma)

A

Fibrous cyst and apocrine metaplasia - no risk
Ductal hyperplasia and sclerosing adenosis - 2x risk
Atypical hyperplasia - 5x risk