T7 - L1 Breast pathology Flashcards
who is invited to have a breast screening?
women 50-70 years invited every three years mammogram is main tool
what composes the “breast triple assessment”
clinical examination: - history - physical exam radiological examination: - ultrasound - mammogram pathological examination: - biopsy - FNAC (each area marked 1-5, 1 = normal, 5 = malignant)
with reference to a mammogram, what would a positive B1 score indicate?
normal return to screening
with reference to a mammogram, what would a B2 positive score indicate?
benign measure, return to screening
with reference to a mammogram, what would a positive B3 score indicate?
uncertain malignant potential excision
with reference to a mammogram, what would a positive B4 score indicate?
suspicion of malignancy rebiopsy or excision
with reference to a mammogram, what would a positive B5 score indicate?
malignant surgical excision
what is Fibrocystic change otherwise known as?
- Fibrocystic disease - Fibrous mastopathy - Mammary dysplasia - Schimmelbusch’s disease - Chronic cystic mastitis etc.
what is Fibrocystic change?
- benign breast disease - breast lumps are due to fibrocystic changes - No increased risk for subsequent carcinoma development
what is the epidemiology of Fibrocystic change?
pre-menopausal women
the risk of Fibrocystic change is higher with which condition?
hyperoestrogenism
what is fibroadenoma?
Fibroadenoma is the most common type of benign breast tumor, - Mobile, painless, well defined breast lump.
who is fibroadenoma commonly seen in?
women 20-30 years more common in afro-caribbean women
what is DCIS?
Ductal carcinoma in situ (DCIS) is the earliest possible form of breast cancer. It needs to be treated but is not life-threatening.
how is Ductal carcinoma in situ (DCIS) most commonly identified on screening?
as microcaclifications
describe the glandular tissue of the breast
