Order ID: DHT6H23GDHY82HD Delivery: 3 HOURS & ABOVE Writer Classification: PHD-PROFICIENT Formatting Style: APA/HARVARD/MLA Plagiarism Grading: 0-0.3% Quality Standard: 99.999% Sources: 3-7 Course Level: UNIVERSITY/COLLEGE Revision Request: ALLOWED
1. What is the only appropriate use for frozen section in the case of breast neoplasia?
A. Rule out microinvasion
B. Diagnose a malignant phyllodes tumor
C. To confirm the surgeon’s impression of a radial scar
D. Relieve the patient of anxiety by providing a rapid diagnosis
E. To assess suspicious lymph nodes
2. Which of the following is NOT critical when grossing a mastectomy specimen?
A. The oriented specimen should be inked with different colors to facilitate the examination of margins
B. Bouin solution should be used.
C. Ideally, sections should be taken perpendicular to the nipple.
D. Uninvolved breast parenchyma should be sampled from all quadrants.
E. None of the above
3. Approximately what percentage of women between the ages of20 and 45 years are affected by fibrocystic changes?
E. Almost 80%
A 32-year-old woman presents with a 3-cm hard tender mass to her family physician. What is the next appropriate
Schedule an excisional biopsy.
Recommend a mammogram.
Perform a fine needle aspiration.
Recommend a trial of estrogen.
Since this is classic Schimmelbusch disease, counsel the patient.
All of the following are characteristic of fibrocystic changes EXCEPT:
A. Dilated, cystic round to oval spaces lined by slightly attenuated epithelial and myoepithelial cell layers
B. Sclerotic interlobular stroma
C. Nonoverlapping cells with prominent cytoplasmic rhembranes
D. Increased ductules and/or acini per lobule
E. Abundant hyperplasia
A suspicious (BI-RADS 4) lesion is biopsied in a SO-year-old woman. On H&E examination you suspect
microglandular adenosis. Which of the following is TRUE about this entity?
A. The epithelial cells are SlO0 positive and estrogen receptor negative.
B. Positive myoepithelial markers will confirm this benign adenosis.
C. Perineural invasion should not dissuade you from making this diagnosis.
D. ‘There is no need to completely excise this “lesion.”
E. TI1is is also called sclerosing adenosis.
ASCP Quick Compendium Companion for Surgical Pathology
4: Breast Questions
7. On review of a core needle biopsy, you suspect sclerosing adenosis. Which of the following is INCORRECT?
A. The differential diagnosis includes tubular carcinoma.
B. 1he differential diagnosis includes microglandular adenosis.
C. The differential diagnosis includes radial scar.
D. The relative risk for development of invasive ductal carcinoma is approximately 5.
E. The treatment is local excision.
8. Which of the following is FALSE regarding radial scars?
A. They mimic invasive carcinoma on mammography.
B. Most are not visible on gross exam.
C. Older lesions tend to be densely hyalinized and fibroelastic centrally.
D. Treatment is local excision.
E. None of the above
9. Which of the following is FALSE regarding the microscopic findings of a tubular adenoma of the breast?
A. It is well-circumscribed with a delicate fibrous capsule.
B. le is composed of aggregates of compact, small, round tubules lined by both epithelial and myoepichelial cell
C. Epithelial cells are never atypical but may be mitotically active.
D. Epithelial cells are not vacuolated and have no evidence of intracytoplasmic secretory material, but tubular
lumens may contain eosinophilic secretory material; lumens are rarely distended.
E. 50% have lactational and secretory changes.
10. Which of the following clinical manifestations of duccal carcinoma in situ (DCIS) is TRUE?
A. It does not present as a palpable mass, Paget disease, or nipple discharge.
B. It is rarely detected on mammography, and never incidentally at microscopic examination.
C. Comedonecrosis is not seen on mammography as dyscrophic calcifications.
D. The average age at diagnosis is 55 years.
E. Multicentric DCIS (foci of carcinoma in > 1 quadrant) is present in approximately 5%-10% of cases.
|FOLLOWING OF INSTRUCTIONS
|NEATNESS AND OTHERS
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