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Difference between revisions of "Breast pathology"
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→Fibroadenoma: more
(→Lactational changes: more) |
(→Fibroadenoma: more) |
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#There is stuff about ''intracanalicular'' vs. ''pericanalicular''.<ref>URL: [http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675%2806%2970216-9 http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675%2806%2970216-9]. Accessed on: 16 March 2011.</ref> It is irrelevant; there is no prognostic difference between the two. | #There is stuff about ''intracanalicular'' vs. ''pericanalicular''.<ref>URL: [http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675%2806%2970216-9 http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675%2806%2970216-9]. Accessed on: 16 March 2011.</ref> It is irrelevant; there is no prognostic difference between the two. | ||
#Do '''not''' comment on the margin - it is irrelevant. | #Do '''not''' comment on the margin - it is irrelevant. | ||
====Phyllodes tumour vs. fibroadenoma==== | ====Phyllodes tumour vs. fibroadenoma==== | ||
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Tx: | Tx: | ||
* Wide excision for phyllodes vs. local excision for fibroadenoma. | * Wide excision for phyllodes vs. local excision for fibroadenoma. | ||
====Variants==== | |||
Four variants are described:<ref>{{Ref WMSP|262}}</ref> | |||
#Juvenile. | |||
#Complex. | |||
#Myxoid. | |||
#Cellular. | |||
=====Juvenile variant===== | |||
*As the name suggests, is typically found in younger patients. | |||
*Classic history: rapid growth. | |||
Features (juvenile variant):<ref>URL: [http://www.breastpathology.info/fibro_variants.html#juvenile http://www.breastpathology.info/fibro_variants.html#juvenile]. Accessed on: 3 October 2011.</ref> | |||
*Stromal and epithelial hyperplasia - '''key feature'''. | |||
*Mitoses uncommon. | |||
=====Myxoid===== | |||
*May be associated with ''[[Carney's complex]]''. | |||
Features: | |||
*Myxoid stroma. | |||
=====Cellular===== | |||
Features (cellular variant): | |||
*Cellular. | |||
*Mitoses. | |||
=====Complex===== | |||
*Contain proliferative epithelium which outside and inside a fibroadenoma is associated with an increased risk of malignancy. | |||
Features:<ref>URL: [http://www.breastpathology.info/fibro_variants.html#complex http://www.breastpathology.info/fibro_variants.html#complex]. Accessed on: 3 October 2011.</ref> | |||
# [[Apocrine metaplasia]]. | |||
# [[Sclerosing adenosis]]. | |||
# Cysts.<ref>MS. 3 October 2011.</ref> | |||
# Calcification.<ref>MS. 3 October 2011.</ref> | |||
==Phyllodes tumour== | ==Phyllodes tumour== | ||