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. All the following are associated with fibromatosis of the breast EXCEPT:Gardner syndrome TraumaPregnancyNeurofibromatosis type 1 2. 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 #2FibroadenomaLymphomaInvasive breast cancer Medullary carcinoma None of the answers are correct 3. All of the following are positive in pseudo-angiomatous stromal hyperplasia EXCEPT:CD34CD31VimentinAll the answers are positiveActin 4. In a phyllodes tumor the breast, what is the usual mitotic rate found in a borderline tumor?5-10 mitoses/50 hpf 10-20 mitoses/10 hpf 5-10 mitoses/10 hpf10-<20 mitoses/50 hpf <10 mitoses/10 hpf 5. 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 #1Medullary carcinoma LymphomaInvasive breast cancer None of the answers are correctFibroadenoma 6. All the following are true with regards to fibroadenomas EXCEPT:The most common mass lesion in the breast Most common in women in their 20s-30s More common in Afro-Caribbean women Are differentiated from fibroadenomatoid hyperplasia by the presence of a capsule 7. After fibroadenoma, what is the most common focal mass lesion of the breast?Sclerosing adenosisPapillomaPhyllodes tumor DCISFibrocystic Disease 8. The malignant cells and Paget's disease may stain with all of the following EXCEPT:EMAHigh molecular weight cytokeratinsPASCEAER/PR 9. All the following are direct or obligate precursors to breast carcinoma EXCEPT:Complex sclerosing lesionSclerosing adenosisPapillomaRadial scar 10. 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 carcinomaDuctal carcinoma in situ with apocrine change Fibrocystic changes Loading...