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    MCQs Breast Pathology 1

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    Ishita Singh
    This document contains 13 multiple choice questions about benign breast lesions and stromal tumors. The questions cover topics like causes of gynecomastia, characteristics of fibroadenoma, fibrocystic changes, radial scars, distinguishing features of phyllodes tumor from fibroadenoma, histological patterns seen in fibroadenoma, characteristics of papillomas, and morphological features of phyllodes tumor.

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    MCQs Breast Pathology 1

    Uploaded by

    Ishita Singh
    681 views5 pages
    This document contains 13 multiple choice questions about benign breast lesions and stromal tumors. The questions cover topics like causes of gynecomastia, characteristics of fibroadenoma, fibrocystic changes, radial scars, distinguishing features of phyllodes tumor from fibroadenoma, histological patterns seen in fibroadenoma, characteristics of papillomas, and morphological features of phyllodes tumor.

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    MCQs breast pathology 1

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    This document contains 13 multiple choice questions about benign breast lesions and stromal tumors. The questions cover topics like causes of gynecomastia, characteristics of fibroadenoma, fibrocystic changes, radial scars, distinguishing features of phyllodes tumor from fibroadenoma, histological patterns seen in fibroadenoma, characteristics of papillomas, and morphological features of phyllodes tumor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    681 views5 pages

    MCQs Breast Pathology 1

    Uploaded by

    Ishita Singh
    This document contains 13 multiple choice questions about benign breast lesions and stromal tumors. The questions cover topics like causes of gynecomastia, characteristics of fibroadenoma, fibrocystic changes, radial scars, distinguishing features of phyllodes tumor from fibroadenoma, histological patterns seen in fibroadenoma, characteristics of papillomas, and morphological features of phyllodes tumor.

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    MCQs breast pathology- benign lesions, stromal tumors

    1. Cause for gynecomastia *Multiple answers


    A. Alcoholic liver disease
    B. Klinefelters syndrome
    C. Testicular seminoma
    D. Increase in androgens

    2. A 20-year-old woman presents with a solitary discrete, freely movable, firm, rubbery,
    nontender, well-circumscribed breast lesion. On resection biopsy, the lesion appears similar to
    that shown in the figure. The most likely diagnosis is

    (A) fibrocystic disease.


    (B) fibroadenoma.
    (C) medullary carcinoma.
    (D) colloid carcinoma.

    3. Fibroadenoma arises from


    A. Epithelial cells lining the ducts
    B. Epithelial cells lining the acini
    C. Interlobular stroma
    D. Intralobular stroma
    4. All of the following are characteristic of fibrocystic changes EXCEP T:
    A. Dilated, cystic round to oval spaces lined by slightly attenuated epithelial and myoepithelial
    cell layers
    B. Sclerotic interlobular stroma
    C. Two fold increased risk of developing carcinoma
    D. Increased ductules and/or acini per lobule

    5. Which of the following is True regarding radial scars?


    A. They mimic invasive carcinoma on mammography.
    B. Older lesions tend to be densely hyalinized and fibroelastic centrally.
    C. Treatment is local excision.
    D. All of the above

    6. In the differential diagnosis of fibroadenoma versus phyllodes tumor, which of the following
    favors phyllodes tumor?
    A. It is usually seen between ages of 20 and 30 years of age.
    B. It is the most common breast lesion in adolescent girls.
    C. The stroma is more cellular with leaf like processes, and very rarely demonstrates a
    pericanalicular growth pattern.
    D. The ducts are engulfed by a pericanalicular arrangement of cellular stroma.

    7. Which of the following is NOT a biphasic tumor?


    A. Fibroadenoma
    B. Juvenile fibroadenoma
    C. Phyllodes rumor
    D. Metaplastic carcinoma

    8. Which of the following is TRUE regarding papillomas?


    A. A myoepithelial layer is absent.
    B. True papillomas do not show evidence of apocrine change.
    C. Papillomas produce nipple discharge in 80% of cases
    D. Absence of fibrovascular core

    9. Histological patterns seen in fibroadenoma *Multiple answers


    A. Pericanalicular
    B. Pseudocanalicular
    C. Intracanalicular
    D. Intercanalicular

    10. Which of the following is NOT a morphologic characteristic of phyllodes tumor?


    A. High-grade tumors have a hypercellular stroma, ≥5 mitosis/10 hpf, moderate to severe stromal
    atypia, and infiltrating margins.
    B. Tumors are classified as benign, low-grade (potential for local recurrence), and high-grade
    (potential to metastasize).
    C. The stroma tends to be cellular and consists of spindle-shaped fibroblastic and
    myofibroblastic cells; the cells tend to condense around the glandular elements.
    D. The epithelial component is commonly hyperplastic with irregular tufts overlying stratified
    epithelium; marked atypia is often present, reminiscent of intraductal carcinoma.

    11. A 48-year-old woman has a tender breast nodule. This is biopsied (see image). What is her
    increased risk of breast cancer?
    A. No risk
    B. 1.5-2 times
    C. 4-5 times
    D. 9-10 times

    12. Which of the following is FALSE regarding gynecomastia?


    A. Increased number of ducts lined by epithelial and myoepithelial cells are characteristic.
    B. The surrounding cellular stroma is dense and collagenous
    C. Lobular structures are enlarged due to adenosis.
    D. It generally involves both breasts, but usually is more pronounced in one over the other.

    13. Tumor arising from interlobular stroma of breast *Multiple answers


    A. Fibroadenoma
    B. Angiosarcoma
    C. Phyllodes tumor
    D. Lipoma

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