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16 Cards in this Set
- Front
- Back
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Ductal carcinoma in situ
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-fills ductal lumen
-arises from ductal hyperplasia -early malignancy without basement membrane penetration |
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invasive ductal
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-firm, fibrous "rock-hard" mass with sharp margins and small glandular duct-like cells
-worst and most invasive. -MC (76%) of breast cancer |
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MC breast cancer?
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Invasive ductal
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invasive lobular
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-olderly row of cells
-Bull's eye appearance, form circle -MC cancer of terminal lobules -often multiple, BILATERAL "Lob the ball multiple times and on both sides of the court, if you do you'll hit the bulls eye!" |
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Medually breast cancer
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-Fleshy, cellular, lymphatic infiltrate
-good prognosis Meds are good |
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Comedocarcinoma
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-Ductal, caseous necrosis. Subtype of ductal carcinoma in situ
"the female comedian with big breasts quacked like a duck" |
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Inflammatory breast cancer
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-dermal lymphatic invasion by breast carcinoma
-Peau d'orange (breast skin resembles orange peel) -50% survival at 5 years |
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Paget's disease
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-Eczematous patches on nipple
-Paget cells = large cells in epidermis with clear halo -suggests underlying cacinoma. Also seen on vulva -commonly a/w invasive ducral carcinoma |
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Fibrocystic disease
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-breast lumps from age 25 to menopause
-presents with premenstrual beast pain and multiple lesions, often bilateral -fluctuation in size of mass -usually does not indicate increased risk of carcinoma |
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Fibrocystic disease: Fibrosis
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-hyperplasia of breast stroma
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Fibrocystic disease: Cystic
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-fluid filled, blue dome, Ductal dilation
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Fibrocystic disease: sclerosing adenosis
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-increased acini and intralobular fibrosis. A/w calcifications
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Fibrocystic disease: epithelial hyperplasia
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-increase in number of epithelial cell layers in terminal duct lobule. Increased risk of carcinoma with atypical cells
-occurs in women >30 years of age |
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Fibroadenoma
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-small mobile firm mass with sharp edges
-mc tumor in those <25 yrs -increase in size and renderness with increase progesterone (preggers, menstration). Not a pre-cursur to breast cancer |
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intraductal papilloma
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-MCC of bloody discharge in women <50
-Small tumor that grows in lactiferious ducts. Typically beneath arela -slight increase risk for carcinoma "in the duct there was blood" |
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Phyllodes tumor
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-large bulky mass of connective tissue and cysts "leaf-like" projections
-MC in 6th decade -some may become malignant "Phyllode was large and bulky and tried to phly with two leaves but this attempt became malignant" |
