Work book chapter 21

Question 1

Connective tissue septa that connect perpendicularly to the breast lobules and extend out to the skin

Answer 1

Cooper’s ligaments

Question 2

Most superficial of the three layers of the breast

Answer 2

Subcutaneous layer

Question 3

Arm pit

Answer 3

Axilla

Question 4

Glandular (milk-producing) component of the breast lobule

Answer 4

Acinus (acini)

Question 5

Middle layer of the breast tissue that contains the ductal, glandular, and stromal portions of the breast

Answer 5

Mammary layer

Question 6

Smallest functional portion of the breast involving the terminal duct and its associated lobule containing at least one acinus

Answer 6

Terminal ductal lobular unit

Question 7

Differentiated apocrine sweat gland with a functional purpose of secreting milk during lactation

Answer 7

Breast

Question 8

Deepest of the three layers of the breast noted on breast ultrasound

Answer 8

Retromammary layer

Question 9

The pigmented skin surrounding the breast nipple

Answer 9

Areola

Question 10

Normal extension of breast tissue into the axillary region

Answer 10

Tail of Spence

Question 11

Plane of imaging on ultrasound of the breast

Answer 11

Radial

Question 12

Part of breast cancer screening best done at the end of menses each month

Answer 12

Breast self-exmination

Question 13

Plane of imaging on ultrasound of the breast that is perpendicular to the radial plane of imaging

Answer 13

Antiradial

Question 14

Echo texture that is more echogenic than the surrounding tissue

Answer 14

Hyperechoic

Question 15

Type of breast imaging examination that is more intensive than routine screening mamography

Answer 15

Diagnostic breast imaging

Question 16

Finger-like extension of the a malignant tumor

Answer 16

Spiculation

Question 17

Near the chest wall

Answer 17

Juxtathoracic

Question 18

Part of breast cancer screening done by a health care provider

Answer 18

Clinical breast examination

Question 19

Represents the first lymph node along the axillary node chain

Answer 19

Sentinel node

Question 20

Refers to vibrations produced by phonation and felt through the chest wall during palpation

Answer 20

Fremitus

Question 21

Without symptoms

Answer 21

Asymptomatic

Question 22

Can be felt o clinical examination

Answer 22

Palpable

Question 23

Trademark system created by ACR to standardize mamographic reporting terminology, categorize breast abnormalities according the level of suspicion for malignancy, facilitate outcome monitoring

Answer 23

Breast imaging reporting and data system

Question 24

Echo texture that resembles the surrounding tissue

Answer 24

Isoechoic

Question 25

Having relatively weak echoes

Answer 25

Hypoechoic

Question 26

Preventive care that includes annual screening mammorgraphy (starting at age 40), monthly breast self-examination, and regular clinical breast self- examination

Answer 26

Breast cancer screening

Question 27

Cannot be felt on clinical examination

Answer 27

Nonpalpable

Question 28

Without echoes

Answer 28

Anechoic

Question 29

Common diagnostic and interventional procedure that involves placing a needle through the skin of the breast into a cystic mass and pulling fluid out of the cyst through the needle

Answer 29

Cyst aspiration

Question 30

Descriptive term for skin thickening of a breast that resembles the skin of an orange

Answer 30

Peau D' orange

Question 31

Abnormal proliferation of cells with atypical features involving the TDLU, with an increased likelihood of evolving into breast cancer

Answer 31

Atypical hyperplasia

Question 32

Neither considered a true cancer nor treated as such

Answer 32

Lobular carcinoma in situ

Question 33

Most common benign solid tumor of the breast, consisting primarily of fibrous and epithelial tissue elements

Answer 33

Firboadenoma

Question 34

Hypertrophy of residual ductal elements that persist behind the nipple in the male

Answer 34

Gynecomastia

Question 35

Fluid-filled sac of variable size

Answer 35

Cyst

Question 36

Overgrowth of the stromal and epithelial elements of the acini within terminal ductal lobular unit (TDLU) of the breast

Answer 36

Adenosis

Question 37

Cancer of the lobular epithelium of the breast, arises at the level of the TDLU

Answer 37

Infiltrating lobular carcinoma

Question 38

Breast cancer occurring in more than one site within the same quadrant of the same ductal system of the breast

Answer 38

Multifocal breast cancer

Question 39

Condition that represents different, essentially normal, tissue processes within the breast that in some patients become exaggerated to the point of raising concern for breast cancer

Answer 39

Fibrocystic condtion

Question 40

The pathologist recognizes some, but not all, of the features of ductal carcinoma in situ

Answer 40

Atypical ductal hyperplasia

Question 41

Breast cancer occurring in different quadrants of the breast at least 5cm apart

Answer 41

Multicentric breast cancer

Question 42

Shows some, but not all, of the features of lobular carcinoma in situ

Answer 42

Atypical lobular hyperplasia

Question 43

Echo texture that resembles the surrounding tissue

Answer 43

Isoechoic

Question 44

Form of fibrocystic change in which the epithelial cells of the acini undergo alteration

Answer 44

Apocrine metaplasia

Question 45

Cancer of the ductal epithelium; most common general category of breast cancer, accounting for approximately 85% of all breast cancers

Answer 45

Infiltrating ductal carcinoma

Question 46

Proliferation (hyperplasia) of epithelial cells lining the terminal duct-lobular unit

Answer 46

Epithelial hyperplasia

Question 47

Term preferred by many authors to replace LCIS and atypical hyperplasia

Answer 47

Lobular neoplasia

Question 48

Surface erosion of the nipple characterized by redness with flaking and crusting caused by direct invasion of the skin of the nipple by underlying breast cancer

Answer 48

Paget's disease

Question 49

Involves two main types of cells (ductal and lobular)

Answer 49

Breast cancer