Transcript Seminar Cases – Part 1 and 2

Breast Pathology Seminar
CASE PRESENTATION
PART 1
Elba Torres Matundan MD FCAP
Victor Carlo Vargas MD FCAP
What is your diagnosis?
CASE 1
A 48 year old female was found to have a
lobular mass on routine mammogram.
CASE 2
A 20 year old female with clinical history of
cardiac myxoma and melanotic
schwannomas was found to have a right
breast mass.
CASE 3
A 62 year old woman was found to have
spiculated mass with microcalcifications on
mammogram.
CASE 4
A 16 year old female with a palpable nodular
lesion.
CASE 5
A 40 year old female was found to have a
mobile, circumscribed, painless mass.
CASE 6
A 45 year old female with firm nodular mass.
CASE 7
A 12 year old female with a palpable nodular
mass.
CASE 8
A 53 year old woman with history of invasive
ductal carcinoma on the left breast. Now
present with nodule on the same breast.
CASE 9
A 50 year old female with firm to hard
palpable mass.
CASE 10
A 17 year old female presents with a
clinically palpable mass
CASE 11
A 32 year old female with nodular palpable
mass.
CASE 12
A 42 year old female with a history of two left
prior breast biopsies for fibroadenomas over
the past five years developed a large mass
in the same breast.
CASE 13
• A 53 year old female with calcifications on
routine mammogram.
CASE 14
A 30 year old female with positive family
history of breast cancer was found to have
an ill-defined mass.
CASE 15
A 33 year old female was found to have a
circumscribed nodular mass.
biopsy
excision
CASE 16
A 64 year old female with left breast invasive
ductal carcinoma presents a right breast
spiculated retroareolar lesion on
mammogram.
CASE 17
A 25 year old female with positive family
history of breast cancer with a nodular mass
on the left breast.
CASE 18
A 47 year old female with history of invasive
ductal carcinoma presents with a nodular
lesion.
Breast Pathology Seminar
CASE PRESENTATION
PART 2
Elba Torres Matundan MD FCAP
Victor Carlo Vargas MD FCAP
What is your diagnosis?
CASE 1
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1.
2.
3.
4.
50 year old woman with breast density;
What is your diagnosis?
Metaplastic carcinoma
Adenomyoepithelioma
Invasive carcinoma with apocrine features
Papilloma
Case 2
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1.
2.
3.
4.
45 year old woman with retroareolar
papilloma; What is the most relevant
clinical history in order to make a
diagnosis?
Is the mass ulcerated?
History of chemotherapy
History of radiation
History of prior core needle biopsy
Case 3
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1.
2.
3.
4.
50 year old with palpable, well defined
breast mass. What is your diagnosis?
Mixed tumor (pleomorphic adenoma)
Metaplastic carcinoma with heterologous
elements
Invasive ductal carcinoma
Papillary carcinoma
CASE 3
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2.
3.
4.
50 year old woman with calcifications;
What is the greatest diagnostic pitfall
(incorrect) with this kind of lesion seen on
core biopsy?
Call it columnar cell change with atypia
Columnar cell change without atypia
Columnar cell hyperplasia with atypia
High grade DCIS, clinging pattern
THE END