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12 Cards in this Set

  • Front
  • Back

Fat Necrosis

- may simulate carcinoma


- firm, irregular, superficial mass


-erythema


- skin retraction and dumpling


- inflammatory response: lipid-laden histiocytes, giant cells, chronic inflammatory infiltrate


- resolves with fibrosis (can be confused w tumour)

Mastitis

- occurs during lactation (esp. primiparas)


- predisposing: cutaneous fissures in nipple, breast engorgement (incomplete nursing)


- Staph or Streptococci


tense, hot, very painful, > acute inflammation


- axilliary lymph nodes may become enlarged and tender


- may progress to abscess formation that requires surgical drainage, or chronic mastitis


- fibrosis



Fibrocytic Change

- palpable breast masses that fluctuate with the menstrual cycle and maybe associated with pain and tenderness.


- However, at least 50% of women have palpably irregular breasts and, inmany women, these palpable lumps probably represent physiologic changes ratherthan a pathologic process. Thus, the term "fibrocystic change" is amore appropriate term to use.


· Indeed, the vast majority of patients with fibrocystic change are not atany increased risk for developing breast cancer, although some subgroups do

Cysts

· Cysts:cavity containing fluid


Nonproliferative lesion

Apocrine cange

nonproliferative lesion

Duct ectasia

lactiferous ducts become blocked


nonproliferative lesion



mild hyperplasia

nonproliferative lesion

florid/moderate epithelial hyperplasia

· rapid,unexpected cell growth; in breast tissue, refers to epithelium that almostblocks duct


- proliferative lesions without atypia (RR = 1.5-2 x)

Nonproliferative lesions


Proliferative lesions without atypia


Atypical hyperplasias

1. no increased risk


2. RR x 1.5-2


3. RR x 4-5

intraductal papillomas

· single tumour that grows in large milk ducts


- proliferative lesions w/o atypica

Sclerosing adenosis

extra tissue growth within breast lobules


- proliferative lesions w/o atypia

Atypical ductal hyperplasia, atypical lobular hyperplasia (RR)

atypical hyperplasia