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Pathology - SGU Systemic 2 Exam A
Pathology - SGU Systemic 2 Exam A
23
Pathology
Professional
06/17/2013

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Term
Malignant breast lump is
Definition
hard, fixed, and painless
Term
Oral contraceptives reduce the risk of ?
Definition
Ovarian cancer and FCC
Term
Acute mastitis by Strep. causes what ?
Definition
Whole breast affected and heals w/o scar
Term
Most common benign tumor of breast and is described as "mouse in the beast" ?
Definition
Fibroadenoma
Term
Histo of fibroadenoma ?
Definition
Loose edematous myxoid fibroblastic stroma + ductlike epithelial lined spaces
Term
Phylloides tumor (leaf-like) spreads via ?
Definition
Hematogeneous route
Term
BRCA 1 and BRCA 2 genes are located on what chromosomes ?
Definition
BRCA 1 - Chromosome 17
BRCA 2 - Chromosome 13
Term
Most breast cancers are located in ?
Definition
Upper outer quadrant
Term
Breast cancer invade what 3 lymph nodes ?
Definition
A I S

Axillary , then internal mammary , then supraclavicular
Term
What type of ductal carcinoma in-situ subtype has a necrotic center that squeezes out material like a toothpaste ?
Definition
Comedo Carcinoma
Term
Characteristics of medullary carcinoma of breast ?
Definition
On histo has large sheets of large oval cells, and little stroma

Structure similar to dysgerminoma ovary, and seminoma testis
Term
What breast carcinoma shows Indian file and bull's eye pattern on histo ?
Definition
Infiltrating lobular carcinoma
Term
Histo of Paget's disease of breast ?
Definition
See Paget's cells (large hyperchromatic nucleus with halo)
Term
Toker cells seen in what cancer ?
Definition
Paget's Disease of the Nipple / Breast
Term
ER+ / PR+ breast tumors respond to ?
Definition
Tamoxifen
Term
Herceptin (Trastuzumab) is not useful against metastatic disease b/c ?
Definition
It cannot cross blood brain barrier
Term
Indicators for good prognosis in breast cancer ?
Definition
Tumor < 2cm
No axillary lymph node involvement
ER +
Lack of aneuploidy
Lack of cathepsin D
Lack of Her 2 neu
Term
Chocolate cysts of ovary are caused by ?
Definition
Endometriosis

Repeated cyclical hemorrhage gives the chocolate color

Consist of endometrial glands + stroma + RBC + hemosiderin
Term
What disease gives you oligomenorrhea, secondary amenorrhea, hirsutism, obesity, and infertility ?
Definition
PCOD or Stein Leventhal Syndrome

Have increase LH and androgens and
decreased FSH

Ultrasound shows bilaterally enlarged ovaries with multiple subcapsular cysts
Term
Problem with treating tumors of ovary is ?
Definition
Late detection
Term
4 subtypes of Germ Cell tumor of the ovaries ?
Definition
T E D C

Teratoma
Endodermal Sinus Tumor (or Yolk Sac Tumor)
Dysgerminoma
Choriocarcinoma
Term
3 subtypes of Sex cord stromal tumors of the ovaries ?
Definition
F G S

Fibroma
Granulosa Theca Tumor
Sertoli Leydig tumor
Term
Subtypes of Surface Epithelial Tumors of the ovary ?
Definition
S E M B U M

Serous
Endometriod
Mucinous
Brenner
Undifferentiated
Mixed
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