PathMD Quizes, Breast Breast – 01 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. In a phyllodes tumor the breast, what is the usual mitotic rate found in a borderline tumor? <10 mitoses/10 hpf 5-10 mitoses/10 hpf10-20 mitoses/10 hpf 10-<20 mitoses/50 hpf 5-10 mitoses/50 hpf 2. After fibroadenoma, what is the most common focal mass lesion of the breast?Sclerosing adenosisPhyllodes tumor DCISFibrocystic Disease Papilloma 3. Multiple masses are noted in the breast of a 40-year-old female. To reassure the patient, an excision was performed and a representative image of the histology is shown. Based on these findings, what is the best diagnosis? Breast - Part 1, Question #3Elongated a lobular units with columnar cell alteration (ELUCA) None of the answers are correctApocrine carcinomaFibrocystic changesDuctal carcinoma in situ with apocrine change 4. All of the following are positive in pseudo-angiomatous stromal hyperplasia EXCEPT:ActinVimentinAll the answers are positiveCD34CD31 5. During pregnancy a 36-year-old female noted an enlarging breast mass 4 cm in greatest dimension. A FNA was performed and representative cytologic images are shown. Based on these findings, what is the best diagnosis? Breast - Part 1, Question #2 Breast - Part 1, Question #2Invasive breast cancer FibroadenomaNone of the answers are correctLymphomaMedullary carcinoma 6. The malignant cells and Paget's disease may stain with all of the following EXCEPT:EMAPASHigh molecular weight cytokeratinsER/PRCEA 7. An irregular breast mass was found on self examination by a 46-year-old female. A FNA was performed and representative images are shown for this case, which highlight cells with atypical cytology that are discohesive and in a clean background. What is the best diagnosis? Breast - Part 1, Question #1 Breast - Part 1, Question #1 Breast - Part 1, Question #1None of the answers are correctFibroadenomaLymphomaInvasive breast cancer Medullary carcinoma 8. All the following are direct or obligate precursors to breast carcinoma EXCEPT:Complex sclerosing lesionSclerosing adenosisPapillomaRadial scar 9. All the following are associated with fibromatosis of the breast EXCEPT:Neurofibromatosis type 1 Gardner syndrome TraumaPregnancy 10. All the following are true with regards to fibroadenomas EXCEPT:The most common mass lesion in the breast More common in Afro-Caribbean women Most common in women in their 20s-30s Are differentiated from fibroadenomatoid hyperplasia by the presence of a capsule Loading...