Your Name: Edith Ubogagu

Theme: Breast

OPTION LIST

A	Breast cyst	I	Acute mastitis
B	Lobular carcinoma in situ	J
C	Cyclic nodularity	K
D	Mammary duct ectasis	L
E	Paget’s disease	M
F	Fibroadenoma	N
G	Ductal carcinoma in situ	O
H	Traumatic fat necrosis	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. 55 years old grand-mother presents with a discrete unilateral breast lump. Biopsy reveals yellow, haemorrhagic tissue with flecks of calcification. She recalls being hit by a football across the chest whilst playing with her grandson.

2. A 45 years old woman presents with multiple bilateral masses, each less than 10mm. FNA revealed serous, turbid fluid.

3. A 30 years old woman presents with a unilateral mass. On examination it is firm, discrete, highly mobile and is less than 5cm in diameter.

4. A 52 years old woman with a BMI of 30 presents with a 6 months history of bloody nipple discharge, and a firm palpable mass with signs of tethering on examination. She also complains of a 4 months history of back pain. Menarche started at the age of 9, and menopause started at 50 years old. Mammography revealed extensive calcification.

5. A breastfeeding mother presents with a painfully enlarged breast. Examination reveals localised tenderness, erythema, skin ridging and pronounced cutaneous oedema, around cracked nipples.

ANSWERS

1. H

2. A

3. F

4. G

5. I