Quiz 7

Question 1

Acute mastitis is caused most commonly by?

Answer 1

staph. aureus

Question 2

______ disease (cystic hyperplasia) of the breast occurs in women between __-__ years old and is uncommon in adolescence or after menopausal age. It involves the glands and stroma. “____ _____” cysts are common and have no malignant potential.

stromal fibrosis has no malignant potential

sclerosing Adenosis is normally ______ and in the upper lateral quadrant of the breast. it is characterized by _______ fibrosis. this might impose a slight risk for breast cancer.

Answer 2

Fibrocytic

20-40

Blue Domed

unilateral

intralobular

Question 3

____ epithelial hyperplasia can be: an apocrine metaplasia, papillary infolding (intraductal papillomatosis), microglandular formation (cribiform pattern), and all of which produce a high risk for _______ of the breast.

Answer 3

Duct

carcinoma

Question 4

_________refers to the development of breasts in males. this is normal in neonates, pubertal boys and elderly males. it is caused by an increase in _______. it is idiapthic and can be caused by drugs such as tagament, spironolactone or marijuana. could also be caused by liver cirrhosis, testicular tumor and renal disease.

Answer 4

gynecomastia

estrogen

Question 5

_______ is the most common benign tumor of the female breast in women under ___. these are estrogen sensitive and make duct like slits (intracanalicular pattern). they are freely moveable masses that frequently enlarge during pregnancy.

Answer 5

Fibroadenoma

35

Question 6

Intraductal papillomas are benign tumors of the ______ducts. commonly present as _____ _____ discharge. NOT a precurssor to papillary adenocarcinoma.

Answer 6

lactiferous

bloody nipple

Question 7

breast cancer is the _____ most common cause of a mass lesion in those 35-50 but is the most common in those above ___. occurs in 1 out of 10 women in the US. it is the most common cancer in women followed by colorectal and lung cancers. it is the ______ most common cause of death due to cancer in women (1st being LUNG)

Answer 7

second

50

second

Question 8

breast cancer has many predisposing factors: family history, increasing age (uncommon before ___), geographic location, precious history, obesity… they are most likely in the upper outter quadrant but the second most common is right around the ______.

nipple retraction, skin dimpling in the arms, an axillary mass, vascular engorgment on the breast, _____ ______ (obstruction of subcutaneous lymphatics)

Answer 8

25

nipple

peau d’orange

Question 9

intraductal carcinoma= comedocarcinoma (central ductal necrosis)

Infiltrating ductal carcinoma=

1. simple type (adenocarcinoma) = most common overall cancer
2. medullary carcinoma= bulky cancer ____ prognosis
3. colloid cancer= elderly patiens, _____ prognosis
4. paget’s disease= _____ _______
5. inflamatory carcinoma= has ____ prognosis

lobular carcinoma= ______ and most commonly terminal lobule cancer

stromal tumors=

1. ________= most common and low grade malignant
2. sarcomas

Answer 9

good

good

nipple errosion

worst

bilateral

cystosarcoma

Question 10

infiltrating _____ ________ is the most common proimary breast cancer. _______ spread is common

Answer 10

ductal adenocarcinoma

lymphatic

Question 11

Intradural carcinoma is a __-_____ carcinoma that contains necrotic cells in the duct lumen, this is called a ___________.

Answer 11

non invasive

comedocarcinoma.

Question 12

lobular carcinoma is the most common malignancy of the _______ lobule.

lobular carcinoma in situ= _____ of terminal lobule

invasive lobular cancer= “_____ ____” pattern

Answer 12

terminal

distension

Indian file

Question 13

paget’s disease of the breast is common in _____ female patients. presents as scaly, eczematous rash. paget’s cells in the epithelium are large clear cells that are _____ positive.

Answer 13

elderly

mucin