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9 Cards in this Set

  • Front
  • Back
Ductal Carcinoma In Situ
Non-invasive, non-palpable
Cribiform (sieve-like), comedo (necrotic center), microcalcifications (only way to see on mammogram)
1/3 will eventually invade
Tx: lumpectomy
Lobular carcinoma in situ
Non-invasive, non-palpable, cannot be identified on mammogram (almost always an incidental finding)
Lobules distended,
1/3 eventually invasive
Increased incidence of cancer in other breast
Infiltrating ductal carcinoma
Invasive, stellate, indurated (reactive fibrosis), grey-white
1/3 have amplification of ERBB2 (poor prognosis)
Paget's disease of the nipple
Extension of DCIS, produces rash w or w/o nipple retraction. Paget's cells
Palpable mass usually present (always underlying cancer)
Medullary Carcinoma
A/w BRCA1
Bulky, soft, large cells w lymphoid infiltrate
Majority are estrogen and progesterone receptor negative
Inflammatory Carcinoma
Erythematous breast with dimpling like an orange
Plugs of tumor blocking lumen of dermal lymphatics (localized lymphedema), poor prognosis
Invasive lobular carcinoma
Neoplastic cells arranged in linear fashion or form concentric circles
Tubular Carcinoma
Develops in terminal ductules, increased incidence of cancer in opposite breast
Colloid (mucinous) carcinoma)
Usually occurs in elderly, neoplastic cells surrounded by mucin