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Benign breast conditions Flashcards

1
Q

What ar th types of adenoma?

A

Fibroadenoma
Tubular adenoma
Lactating adenoma

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2
Q

What is the pathology of a fibroadenoma?

A

Proliferation of epithelial and stromal elements

Ducts distorted and elongated

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3
Q

What are the 2 types of fibroadenoma of the breast?

A

Intracanalicular

Pericanalicular

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4
Q

What is the appearance of intracanalicular fibroadenomas?

A

Stromal proliferation compressing epithelial structures into clefts

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5
Q

What is the appearance of pericanalicular fibroadenomas?

A

Stromal proliferation around epithelial structures

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6
Q

When are fibroadenomas most common?

A

Child bearing age

Peak in 3rd decade

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7
Q

What are the clinical features of fibroadenomas?

A

Circumscribed

Mobile and non painful

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8
Q

Who are tubular adenomas seen in?

A

Young women

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9
Q

What are the clinical features of a tubular adenoma?

A

discrete, freely mobile mass

Uniform sized ducts

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10
Q

What are lactating adenomas?

A

Enlarging masses during lactation or pregnancy with prominent secretory change

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11
Q

Where do intraductal papillomas form?

A

Lactiferous ducts

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12
Q

Who are intraductal papillomas seen in?

A

Middle aged women

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13
Q

What are the signs and symptoms of intraductal papillomas?

A

Nipple discharge, often bloody

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14
Q

What is the treatment of intraductal papillomas?

A

Excision

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15
Q

What is fat necrosis?

A

Injured, bruised or dead fatty tissue

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16
Q

What can cause fat necrosis?

A

Trauma

Prior surgery

17
Q

What are the signs and symptoms of fat necrosis?

A

Pain or tenderness
Lump or area of thick skin
Similar to breast cancer

18
Q

What is seen on histology of fat necrosis?

A

Histocytes with foamy macrophages

19
Q

What is seen on a mammogram with fat necrosis?

A

FIbrosis

Calcifications

20
Q

What is duct ectasia?

A

Lactiferous duct becomes blocked/clogged

21
Q

Who is duct ectasia seen in?

A

Peri- or post- menopausal women

22
Q

What are the signs and symptoms of duct ectasia?

A

Green coloured nipple discharge

Can mimic cancer

Reproduction (29 decks)

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