USMLE Step 1 - breast carcinoma 2
breast carcinoma 2
usmlefever3 - 11-18-08 01:12
28-year-old woman presents with a bloody nipple discharge. Palpation around the nipple reveals blood coming from one of the duct openings. No masses are identified. A cytology specimen of the bloody material reveals blood intermixed with foamy macrophages and clumps of benign ductal epithelium with a fibrovascular core.
a.inraductal papilloma
b.intraductal carcinoma
c.pagets disease
d.fibroadenoma
usmlefever3 - 11-18-08 01:12
28-year-old woman presents with a bloody nipple discharge. Palpation around the nipple reveals blood coming from one of the duct openings. No masses are identified. A cytology specimen of the bloody material reveals blood intermixed with foamy macrophages and clumps of benign ductal epithelium with a fibrovascular core.
a.inraductal papilloma
b.intraductal carcinoma
c.pagets disease
d.fibroadenoma
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#3
Re: breast carcinoma 2
usmlefever3 - 11-18-08 01:30 intraductal paillomaThe 28-year-old woman with a bloody nipple discharge most likely has an intraductal papilloma located in the lactiferous duct. The involved duct is identified by applying pressure circumferentially around the nipple to see which lactiferous duct is emptying blood. There is no danger for transformation into a papillary cancer. A segmental resection of the lactiferous duct is recommended.
#4
Re: breast carcinoma 2 bingousmle - 11-18-08 02:51 ya i overlooked the term benign ductal epithelium..
#6
Re: breast carcinoma 2 bingousmle - 11-19-08 12:52 can someone tell me what are Pagets cells , as in what is their appearance? i tried to find but did not get...are those the foammy cells
#7
Re: breast carcinoma 2 kingofhearts - 11-19-08 13:54 well paget's cells are histological features seen in pagets's disease.....these cells may be singly present or in clusters in the epidermis and are larger than theepidermal cells,spherical,having hyperchromatic nuclei with cytoplasmic halo that stains positively with mucicarmine.paget's cells are adenocarcinoma-type cells.....
#9
Re: breast carcinoma 2 kingofhearts - 11-19-08 14:13 thanks buddy.....just an honest attempt to answer something that i know .....well what is incidence of occurrance of pagets disease....
#11
Re: breast carcinoma 2 kingofhearts - 11-20-08 00:22 why is the phyllodes tumour called so and what is it's striking diagnostic feature and also tell about the treatment to be followed....
#12
Re: breast carcinoma 2 usmlefever3 - 11-20-08 03:11 pyllodes tumour has proliferation of stromal cells with no lymph node involvement ...so the treatment should be simple mastectomy
#13
Re: breast carcinoma 2 bingousmle - 11-20-08 03:24 its called so because itt resembles some kind of leaf, also called cystosarcoma phyllodes. since there is a chance that some part may remain during removal and lead to recurrence its best to do a mastectomy
#14
Re: breast carcinoma 2 kingofhearts - 11-20-08 08:27 ok thanks.... what is the j pouch and what is the w pouch....and what is the significance of j pouch and what is the significance of w pouch....
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