Pathology EMQ template

YourName: Eleanor Barry

YourIdentifier: barry el

Theme: Breast Pathology

OPTION LIST

A	Fibroadenoma	I	Carcinoma of male breast
B	Pagets Disease of the nipple	J	Lobular Carcinoma in situ
C	Ductal Carcinoma in situ	K	Carcinoma of Male breast
D	Gyaecomastia	L
E	Nipple adenoma	M
F	Duct Papilloma	N
G	Invasive Carcinoma	O
H	Lymphoma	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. A 55 year old lady presents with a palpable lump in the left breast that is central with nipple discharge which is sometimes blood stained. You perform a FNA which shows that the lump has branching fibrovascular cores covered by cytologically bland epithelium.

2. A 60 year old lady presents with a hard palpable mass in the right breast. The mammography shows that the lump is calcified. FNA results show that the cells in the lump have pleomorphic nuclei and that the lump has a necrotic centre.

3. A 23 year old lady comes to the breast clinic because she is worried of having breast cancer as her mother and grandmother both have had the disease. The mammogram finds no abnormality but you think you feel a number of multifocal lumps

4. A 45 year old lady is referred to the breast clinic with nipple retraction

5. A 30 year old woman is referred to the breast clinic with a red, roughened and ulcerated nipple.

ANSWERS

1. F

2. C

3. J

4. G

5. B