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Breast

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Question
Answer
What is the main difference histologically between male and female breasts?   male breasts lack lobules  
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Where do most carcinomas of the breast arise?   ductal system (95%  
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What are the categories of diseases in the breast?   Developmental, Inflammation, Proliferative vs Non-Proliferative, Tumors  
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Which is more common? Proliferative or Non-Proliferative?   Non-Proliferative Fibrocystic disease  
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What is the histology of Non-Proliferative breast disease?   CASE of FIBROSIS: (C) Cystic dilation (A) apocrine metaplasia (S) Sclerosing adenosis (E) Epithelial hyperplasia & BLUE DOME CYSTS  
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BLUE DOME CYSTS   Non-proliferative fibrocystic disease  
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What are some of the causes of non-proliferative fibrocystic disease?   hormonal imbalance, fibrosis reactive to rupture  
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You have a pt with known fibrocystic disease. She scared. What do you tell her?   Fibrocystic disease is non-proliferative. It's the most common type of breast disease and there's NO RISK OF CARCINOMA. It's BENIGN.  
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You histologically see a biopsy with apocrine metaplasia, dilated ducts, some epithelial hyperplasia and some sclerosis. What is the guess?   fibrocystic disease  
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What are the types of proliferating breast disease?   PROLIFERATING PECS: (P) Papilloma (E) Epithelial Hyperplasia (may be atipical), (C) comlex lesions--radial scar (S) Sclerosing adenosis  
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