Pathology EMQ template.

Name: Siobhan Carver        

Theme: Breast Pathology

OPTION LIST

A	Acute pyogenic mastitis	I	Lipoma
B	Ductal Carcinoma in Situ	J	Lobular Carcinoma in Situ
C	Duct Ectasia	K	Mucinous Carcinoma
D	Fat Necrosis	L	Phyllodes Tumour
E	Fibroadenoma	M	Radial Scar
F	Fibrocystic Change	N
G	Intraductal Papilloma	O
H	Invasive Ductal Carcinoma	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1) Usually a younger patient, presenting with a solid, well-defined lump. Fine-needle aspiration cytology (FNAC)shows benign cells.

2) FNAC of this tender lump shows neutrophils and inflammatory debris but no malignant cells. The condition commonly occurs in patients a few weeks after giving birth

3) Mammography of this hard lump shows a stellate mass with microcalcification. As well as the primary lump, enlarged axillary lymph nodes are present in the patient.

4) Women with this condition present with a thick, creamy discharge with an underlying mass. Cytological examination of the fluid shows no epithelial cells, but macrophages and debris are present

5) Patients present with a firm, palpable mass. Histologically, the condition is characterised by long clefts with myxoid cellular stroma.

ANSWERS

1. E

2. C

3. H

4. A

5. L