Detoem and catse ascltes They suall tmole the uerine sijace bin more commonby present as d infiltrative process rather that a slow growing mass eold woman has noricedaody discharge from the nipple of her right be amination,th cycle A.Acute mastitis B.Fibroadenoma C.Intraductal papilloma D.Phylloides tumor E.Sclerosingadenosis Ans:C Intraductalpapillomas are usually solitary and smaller than i cm.They are located in large lactiferous sinuses or ducts and have a tendency to bleed.Acute mastitis occurs most commonly in lactating women and is painful. It does not produce bloody dischars e.Fibroadenomas contain ducts with stroma and are not highly vascular Theyre odPhireromratobl nalignant.They ade ducts to cause bleeding.Sclerosingadenosi s.a lesion occurring with fibrocystic changes.has abundant collagen but not vascularity. 4.A 44-year-old woman sees her physician because she felt a lump in her left breast I week ago.The physician palpates a firm,irregular mass in the upper outer quadrant of the left breast.There are no overlying skin lesions. The mammogram is shown in A and the gross appearance of the excisional biopsy specimen is shown in B above.Which of the following additional findings is MOST LIKELY to be present on physical examination? A.Axillary lymphadenopathy B.Bloody discharge from the nipple C.Cushingoid face peritoneum and cause ascites. They usually involve the uterine surface but more commonly present as a diffusely infiltrative process rather that a slow growing mass. 3. A 36-year-old woman has noticed a bloody discharge from the nipple of her right breast for the past 3 days. On physical examination, the skin of the breasts appears normal, and no masses are palpable. There is no axillary lymphadenopathy. The patient has regular menstrual cycles and is using oral contraceptives. Excisional biopsy is MOST LIKELY to show which of the following lesions? A. Acute mastitis B. Fibroadenoma C. Intraductal papilloma D. Phylloides tumor E. Sclerosingadenosis Ans: C Intraductalpapillomas are usually solitary and smaller than 1 cm. They are located in large lactiferous sinuses or ducts and have a tendency to bleed. Acute mastitis occurs most commonly in lactating women and is painful. It does not produce bloody discharge. Fibroadenomas contain ducts with stroma and are not highly vascular. They are not located in ducts. Phylloides tumors also arise from intralobular stoma and can be malignant. They do not invade ducts to cause bleeding. Sclerosingadenosis, a lesion occurring with fibrocystic changes, has abundant collagen but not vascularity. 4. A 44-year-old woman sees her physician because she felt a lump in her left breast 1 week ago. The physician palpates a firm, irregular mass in the upper outer quadrant of the left breast. There are no overlying skin lesions. The mammogram is shown in A and the gross appearance of the excisional biopsy specimen is shown in B above. Which of the following additional findings is MOST LIKELY to be present on physical examination? A. Axillary lymphadenopathy B. Bloody discharge from the nipple C. Cushingoid face