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Breast pathology (pathoma ch 16 part 1)

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jkong's version from 2016-02-19 14:42

Section 1

Question Answer
acute mastitis - 1. description 2. cause 3. PE 4. TX1. bacterial infection of the breast usually from staph 2. fissure in tissue ssociated with breast feeding 3. purulent discharge from nipple and possible abcess 4. drainage/antibiotics [dicloxacillin(beta lactam)]
periductal mastitits - 1. description 2. cause 3. PE 4. TX1. inflammation in sub alveolar ducts SMOKERS 2. vit A deficiciency -->squamous metaplasia 3. nipple retraction w/subalveolar mass and (sometimes green/brown discharge) 4. surgery
mammary duct ectasia - 1. description 2. associated patients 3. PE 4. TX1. inflammation in sub alveolar ducts 2. multiparous women 3. green/brown discharge/ plasma cells on BX 4. beta lactams
Fat Necrosis - 1. benign/malignant? 2. cause 3. PE 4. TX1. benign 2. trauma (ex. softball to chest)/radiation 3. mass or calcification on mammography, GIANT CELLS on BX 4. no TX needed
Fibrocytic change - 1. benign/malignant? risks? 2. PT age range (pre/post menses) 3.cause 4. PE 5. TX1. benign but ↑ risk of hyperplasia and sclerosing adenosis 2. premenopausal 3. hormone mediated -->apocrine metaplasia 4. lumpy breast UOQ - blue dome cysts
Intraductal papilloma - 1. benign/malignant? risks? 2. PT age range (pre/post menses) 3. PE 4. TX1. benign but ↑ risk of papillary carcinoma 2. PRE 3. TWO CELL LAYERS of projections epi and myoepi , BLOODY NIPPLE DISCHARGE 4. surgery
Papillary Carcinoma - 1. benign/malignant? risks? 2. PT age range (pre/post menses) 3. PE 4. TX1. malignant 2. post 3. epithlial projections WITHOUT MYOEPITHELIAL cells 4. SX
FibroAdenoma - 1. benign/malignant? 2. PT age range (pre/post menses) 3. PE 4. hormone sensitive?1. benign 2. most common in premenses 3. well circumscribed marble like mass painful during menses 4. estrogen
Phyllodes tumor - 1. benign/malignant? 2. PT age range (pre/post menses) 3. PE 1. benign 2. post 3. leaflike brojections on BX
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Section 2

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