Sketchy Path: Reproductive & GU - "Benign Breast Disorders"

Question 1

The ___________ part of the breast produces milk.

Answer 1

lobule (represented by the entrance to the slip-and-slide where water is filling in)

Question 2

The ___________ part of the breast transports milk.

Answer 2

lactiferous ducts (like the muscular slide)

Question 3

In a non-lactating state, the breast volume is primarily made of _____________.

Answer 3

stroma (like the gray patio near the slide)

Question 4

__________ often presents in nursing women.

Answer 4

Mastitis (like the nursing mother with the red bathing suit)

Question 5

Which bacteria is most often found in mastitis?

Answer 5

S. aureus (like the golden staffs near the slide)

Question 6

___________ is very important in treating mastitis.

Answer 6

Continuing to lactate (because it expels the bacteria from the breast)

Question 7

What is mammary duct ectasia?

Answer 7

Non-traumatic blockage of lactiferous ducts (like the sticks blocking the young girl from sliding)

Question 8

Describe the discharge in lactational mastitis and mammary duct ectasia.

Answer 8

• Mastitis: purulent white discharge

* Mammary duct ectasia: green, inspissated discharge (green stick juice)

Question 9

______________ often follows trauma, though many women forget about minor traumas that caused it.

Answer 9

Fat necrosis (like the overweight man fallen onto rocks with a cast –trauma –and the skull on his shirt – necrosis)

Question 10

______________ is bilateral and causes the breasts to feel dense and lumpy.

Answer 10

Fibrocystic change (like the proliferating green bushes with popcorn and water balloons in them)

Question 11

Fibrocystic change presents with what on histology?

Answer 11

Blue-domed cysts (like the blue water balloons)

Question 12

What is epithelial hyperplasia?

Answer 12

It is a benign proliferative disorder in which the lobules fill with proliferating cells. It does not have a malignant risk by itself, though if it has atypia then it does.

(Think of the girl in the pool that’s totally filled purple holding the crab on the TiPs of her hands.)

Question 13

Review sclerosing adenosis.

Answer 13

• Proliferation of lobular cells WITH increased glands
• Fibrotic area around lobules

(Think of the sponge with lots of lumens and the sclerosis snake.)

Question 14

True or false: fibroadenomas are painless.

Answer 14

True (she’s happy and smiling while rollerblading)

Question 15

Fibroadenomas feel like _______________.

Answer 15

rubbery, well-defined masses (like her rollerblade wheels)

Question 16

Fibroadenomas are proliferations of _____________.

Answer 16

glands and stroma (like how she’s on the stroma but there are lobules painted by her feet)

Question 17

What is one pathologic sign of fibroadenoma?

Answer 17

Stroma that squeezes ducts (like how she’s squeezing flowers)

Question 18

Which of the benign proliferations are more common in older women?

Answer 18

Phyllodes tumor (like the older woman picking up leaves)

Question 19

True or false: phyllodes tumor is benign.

Answer 19

False-ish

While most often it is benign, it can be malignant. (Think of the crab rake near the tree with leaves.)

Question 20

The most common cause of bloody nipple discharge is _____________.

Answer 20

ductal papilloma (like the bush with the red hose)