Thank you for the pathology quiz. I learned a lot about different types of breast lesions.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
Download as ppt, pdf, or txt
You are on page 1of 32
PICTOTRANS
Pathology of the Breast Quiz
From Dra. Edna May Lasap-Go Quiz choices Fibroadenoma Fibrocystic change Phylloides Tumor Comedocarcinoma/ DCIS Mucinous Carcinoma Invasive Ductal Carcinoma Lobular Carcinoma Tubular Carcinoma Papilloma Medullary Carcinoma Inflammatory Carcinoma 1. Clues from Ma’am well defined mass doughy to firm slit like spaces are seen with lobular appearance Most seen in young patients fibroadenoma, stromal, benign 1. ANSWERS Diagnosis? FIBROADENOMA Of STROMAL origin Benign or Malignant? BENIGN 2. 2. Clues from Ma’am Frond-like/ fern-like structures within a cyst ANSWERS Diagnosis: PAPILLOMA CARCINOMA Most common clinical presentation (aside from a palpable mass)? BLOODY/SEROUS DISCHARGE 3. Clues from Ma’am Tumor with cellular stroma Arborizing patterns ANSWERS Diagnosis? PHYLLOIDES or CYSTOSARCOMA PHYLLOIDES (LOW GRADE) Stromal or Epithelial tumor? STROMAL! Benign or Malignant? Can be EITHER 4. Clues from Ma’am Tumor cells confined and delimited; seen only inside At the center is necrotic debris ANSWERS Diagnosis? COMEDOCARCINOMA or DCIS- ductal carcinoma in situ T/F: The lesion per se is an invasive lesion. FALSE! Because it is in situ. Note: Comedocarcinoma is a subtype of ductal carcinoma (kaya nga DCIS). 5. 5. Clues from Ma’am Gross: Glistening appearance characteristic of the lesion because of its gelatinous character ANSWERS Diagnosis? Mucinous Carcinoma T/F: This lesion has an excellent prognosis. TRUE! 6. Clues from Ma’am Monomorphic cells arranged in parallel arrays ANSWERS Diagnosis: LOBULAR CARCINOMA T/F: This lesion arises from the lobules of the breast. FALSE! (Oo, false). 7. Clues from Ma’am No myoepithelial cells so tumor cells are in direct contact with stroma. ANSWERS Diagnosis? TUBULAR CARCINOMA T/F: This histologic subtype has a poor prognosis. FALSE! Because it has EXCELLENT prognosis. 8. 8. Clues from Ma’am Gross: The white part is the lesion, the red and yellow part is the breast tissue. ANSWERS Diagnosis? INVASIVE DUCTAL CARCINOMA Degree of differentiation: POORLY DIFFERENTIATED 9. Clues from Ma’am Pushing borders Cells look like syncitium; you can’t appreciate cell borders. ANSWERS Diagnosis: MEDULLARY CARCINOMA