Week 9: Biphasic Breast Masses Flashcards

1
Q

What are 3 biphasic breast lesions?

A
  • Fibroadenoma
  • Phyllodes Tumor
  • Gynecomastia
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2
Q

ID

A

Fibroadenoma

Grossly, a rubbery, white, well-circumscribed
mass

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3
Q

ID

A

Fibroadenoma

Grossly, a rubbery, white, well-circumscribed mass that is hormonally responsive and grows during pregancy and regress after menopause

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4
Q

ID

A

Fibroadenoma

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5
Q

ID

A

Fibroadenoma

The proliferation of intralobular stroma surrounds, pushes, and distorts the associated epithelium

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6
Q

ID

A

Fibroadenoma

The proliferation of intralobular stroma surrounds, pushes, and distorts the associated epithelium

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7
Q

What mutation is associated with Fibroadenomas of the breast?

A

MED12 exon 2 somatic mutations

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8
Q

The most important cause of hyperestrinism in assigned male at birth (AMAB) individuals is?

A

Cirrhosis

liver metabolizez estrogen

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9
Q

4 most common endogenous causes of gynecomastia

A
  • Cirrhosis
  • Testosterone dropping with aging
  • Klinefelter Syndrome (XXY karyotype)
  • Testicular Tumors
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10
Q

ID

biopsy is from an assigned male at birth (AMAB) individual
A

Gynecomastia

Increased Intralobular stroma (curved black arrows) and presence of mild epithelial hyperplasia with lobules (open black arrows)

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11
Q

2 most common exogenous causes of gynecomastia

A
  • Alcohol
  • Drugs (Spironolactone and Risperidone)
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12
Q

ID

A

Phyllodes Tumor

leaf-like architecture and high stroma to epithelial ratio

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13
Q

ID

A

Phyllodes Tumor

leaf-like architecture emphasized

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14
Q

ID

A

Phyllodes Tumor

high stroma to epithelial ratio emphasized

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15
Q

ID

A

Phyllodes Tumor

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