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. 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 #1FibroadenomaLymphomaMedullary carcinoma Invasive breast cancer None of the answers are correct 2. After fibroadenoma, what is the most common focal mass lesion of the breast?Fibrocystic Disease PapillomaSclerosing adenosisPhyllodes tumor DCIS 3. The malignant cells and Paget's disease may stain with all of the following EXCEPT:High molecular weight cytokeratinsCEAPASEMAER/PR 4. 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 #3None of the answers are correctElongated a lobular units with columnar cell alteration (ELUCA) Apocrine carcinomaDuctal carcinoma in situ with apocrine change Fibrocystic changes 5. All the following are true with regards to fibroadenomas EXCEPT:More common in Afro-Caribbean women Most common in women in their 20s-30s Are differentiated from fibroadenomatoid hyperplasia by the presence of a capsuleThe most common mass lesion in the breast 6. All the following are direct or obligate precursors to breast carcinoma EXCEPT:Radial scar PapillomaComplex sclerosing lesionSclerosing adenosis 7. All the following are associated with fibromatosis of the breast EXCEPT:Neurofibromatosis type 1 TraumaGardner syndrome Pregnancy 8. In a phyllodes tumor the breast, what is the usual mitotic rate found in a borderline tumor?5-10 mitoses/10 hpf5-10 mitoses/50 hpf <10 mitoses/10 hpf 10-20 mitoses/10 hpf 10-<20 mitoses/50 hpf 9. All of the following are positive in pseudo-angiomatous stromal hyperplasia EXCEPT:VimentinCD34All the answers are positiveCD31Actin 10. 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 #2None of the answers are correctMedullary carcinoma Invasive breast cancer LymphomaFibroadenoma Loading...