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Exam (elaborations)

Breast Pathoma: Questions With Complete Solutions

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  • PATHOMA
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  • PATHOMA

Breast Pathoma: Questions With Complete Solutions

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  • October 5, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PATHOMA
  • PATHOMA
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LeCrae
Breast Pathoma: Questions With Complete Solutions

Milk line Right Ans - Breast tissue can develop anywhere from the axilla to
the vulva

Lobules and ducts are lined by two layers of epithelium Right Ans - luminal
cells - milk production
myoepithelial cells - contractile function




Is galactorrhea a symptom of Breast cancer? Right Ans - No
caused by nipple stimulation, prolactinoma and dopamine anatagonists

Acute mastitis in breast feeding women is usually caused by ________
Tx? Right Ans - *Staph aureus* invasion of fissures that develop during
*breast feeding*

Tx: *dicloxacillin*

70%-80% of cancers that are detected on mammogram are ______ Right Ans
- invasive

Risk factors for breast cancer? Right Ans - -benign breast disease
-estrogen exposure
-radiation (hodgkins tx)
-Obesity & alcohol

Poorly differentiated medullary cancers, ER- HER2- basal genetic
classification.

, genetic marker? Right Ans - BRCA1

more Poorly differentiated, more likely ER+, HER-
Luminal genetic classification
What gene? Right Ans - BRCA2

Chromosome 1q, overexpression of homeobox transcription factor HOXB13
Right Ans - Phyllodes tumor

Malignant clonal proliferation limited to ducts and lobules (has not broken
through the basement membrane)
• Stage 0 breast cancer
• Myoepithelial cells preserved Right Ans - DCIS

Atypical apocrine adenosis thought to be precursor, amplification of TP53 on
chrom 17q, ER + or ER- Right Ans - HER2 positive pathway

Most common mutation in sporadic cancer Right Ans - TP53

Which three are the most likely fibrocystic changes to cause cancer? Right
Ans - Atypical ductal > lobular

Atypical ductal and lobular hyperplasias have what change in genetic
material? Right Ans - loss of 16q or gain of 17p

Atypical lobular hyperplasia has a loss of E-cadherin

erythematous breast w/ purulent nipple discharge Right Ans - acute
mastitis

Smoker with subareolar mass and nipple retraction.

Location? Right Ans - periductal mastitis

Squamous metaplasia of lactiferous ducts

Periareolar mass w/ green-brown (or *thick white*) nipple discharge.
age group? disease? MOA? Right Ans - -Mammary Duct Ectasia
-Multiparous postmenopausal women

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