Breast

Question 1

Histology distinguishing factor in mammary duct ectasia

Answer 1

Lymphoplasmacytic infiltrate

Granulomas in periductal stroma

Question 2

Microscopic finding in fat necrosis

Answer 2

Necrotic fat cells surrounded by neutrophils and lipid laden macrophages

Question 3

Benign tumors

Answer 3

Fibroadenoma
Phyllodes tumors
Intraductal papilloma

Question 4

Peculiar findings in fibroadenoma

Answer 4

Biphasic
Fibroblastic stroma
Well defined intact basement membrane

Question 5

Phyllodes tumor

Answer 5

Neoplastic stromal cells
Epithelium lined glands

Epithelium lines leaf like projections

Question 6

Ominous change suggesting malignancy

Answer 6

Increased stromal cellularity
Anaplasia
High mitotic activity
Rapid increase in size
Infiltrate margins

Question 7

Chemical presentations in Intraductal papillomas

Peculaie histologic finding differentiating it from Intraductal papillary carcinoma

Answer 7

Serous or bloody nipple discharge
Presence of small subareolar tumor a few mm in diameter
Nipple retraction

Double layered epithelium

Question 8

Types of carcinoma

Answer 8

Infiltrating

Non infiltrating

Question 9

Examples of non infiltrating

Answer 9

Papillary carcinoma

Intraductal carcinoma

Question 10

Infiltrating carcinoma

Answer 10

Scirrhous carcinoma aka carcinoma with fibrosis
Medullary carcinoma
Coloid or mucinoid carcinoma