Breast Pathology: Inflammatory Disorders Quiz
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Questions and Answers

Which bacterial species commonly invades breast tissue in cases of acute mastitis?

  • Staphylococcus epidermidis
  • Escherichia coli
  • Streptococcus pyogenes
  • Streptococcus aureus (correct)
  • What is the typical presentation of periductal mastitis in affected individuals?

  • Painful erythematous subareolar mass (correct)
  • Painless subareolar mass
  • Non-erythematous mass
  • Asymptomatic nipple discharge
  • What characterizes the pathology of acute mastitis?

  • Formation of multiple benign lesions
  • Development of cystic structures within the breast tissue
  • Localized area of acute inflammation progressing to abscess formation (correct)
  • Growth of malignant tumors within the breast
  • What is a common symptom associated with acute mastitis?

    <p>Febrile illness with painful, erythematous breast</p> Signup and view all the answers

    What is the most common timing for the occurrence of acute mastitis?

    <p>During lactation</p> Signup and view all the answers

    What is the primary risk factor associated with periductal mastitis?

    <p>Cessation of cigarette smoking</p> Signup and view all the answers

    What is the most common malignancy in women according to the text?

    <p>Carcinoma of the breast</p> Signup and view all the answers

    Which histologic feature is the key characteristic of mammary duct ectasia?

    <p>Dilation of ducts and inspissation of breast secretions</p> Signup and view all the answers

    What is the key histologic feature of breast fibrosis?

    <p>Rupture of cysts leading to chronic inflammation and fibrosis</p> Signup and view all the answers

    What is defined by the presence of more than two cell layers according to the text?

    <p>Epithelial hyperplasia</p> Signup and view all the answers

    What tends to occur in the fifth or sixth decade of life, usually in multiparous women?

    <p>Mammary duct ectasia</p> Signup and view all the answers

    What do small cysts form by, according to the text?

    <p>Dilation of lobules</p> Signup and view all the answers

    "Cysts are lined either by a flattened atrophic epithelium or by metaplastic apocrine cells." - According to the text, which condition does this statement refer to?

    <p>&quot;Breast cysts&quot;</p> Signup and view all the answers

    What is characterized chiefly by dilation of ducts, inspissation of breast secretions, and a marked periductal and interstitial chronic granulomatous inflammatory reaction?

    <p>&quot;Mammary duct ectasia&quot;</p> Signup and view all the answers

    What tends to peak at the age of 75–80 years and then decline slightly thereafter?

    <p>Incidence of carcinoma of the breast</p> Signup and view all the answers

    What is the most common age range for the occurrence of mammary duct ectasia?

    <p>Fifth or sixth decade of life</p> Signup and view all the answers

    What characterizes osteoblastoma when it involves the spine?

    <p>It is larger than 2 cm and causes dull, achy pain</p> Signup and view all the answers

    Which condition is a well-circumscribed mass of hemorrhagic gritty tan tissue composed of randomly interconnecting trabeculae of woven bone rimmed by osteoblasts?

    <p>Osteoid osteoma</p> Signup and view all the answers

    In which age group does osteosarcoma predominantly occur?

    <p>Teenagers between 15 and 18 years old</p> Signup and view all the answers

    What is the most common benign bone tumor?

    <p>Osteochondroma</p> Signup and view all the answers

    Which tumor is composed of malignant hyaline and myxoid cartilage?

    <p>Chondrosarcoma</p> Signup and view all the answers

    What characterizes the gross morphology of chondromas?

    <p>They are small, gray-blue translucent nodules of cytologically benign hyaline cartilage</p> Signup and view all the answers

    When does chondrosarcoma typically affect individuals?

    <p>Individuals in their 40s or older</p> Signup and view all the answers

    What is the favored site for the occurrence of osteosarcomas?

    <p>The long bones of the extremities</p> Signup and view all the answers

    What is the key histologic feature of osteochondromas?

    <p>They are benign cartilage-capped tumors attached to the skeleton by a bony stalk</p> Signup and view all the answers

    What characterizes the stroma surrounding neoplastic bone in osteoblastoma and osteoid osteoma?

    <p>It contains many dilated and congested capillaries</p> Signup and view all the answers

    What is the term used to describe benign bone tumors that have identical histologic features but differ in size, sites of origin, and symptoms?

    <p>Osteoid osteoma and osteoblastoma</p> Signup and view all the answers

    What is the characteristic symptom associated with osteoid osteomas?

    <p>Severe nocturnal pain relieved by aspirin</p> Signup and view all the answers

    Which of the following is NOT a predisposing factor associated with bone neoplasia?

    <p>Osteochondromas</p> Signup and view all the answers

    Which genetic alterations play a role in the development of most bone tumors?

    <p>Somatic mutations</p> Signup and view all the answers

    What age group usually experiences the occurrence of osteoid osteomas?

    <p>Teens and 20s</p> Signup and view all the answers

    Which factor is associated with bone neoplasia according to the text?

    <p>Paget disease</p> Signup and view all the answers

    Which genetic alterations are known to play a role in the development of most bone tumors?

    <p>Chromosomal abnormalities</p> Signup and view all the answers

    What are the predisposing factors associated with bone neoplasia according to the text?

    <p>Metal prostheses</p> Signup and view all the answers

    How do osteoid osteomas and osteoblastomas differ?

    <p>Size and symptoms</p> Signup and view all the answers

    What is the characteristic presentation of osteoid osteoma according to the text?

    <p>Severe nocturnal pain</p> Signup and view all the answers

    Which condition is defined by dilation of ducts, inspissation of breast secretions, and a marked periductal inflammatory reaction?

    <p>Mammary duct ectasia</p> Signup and view all the answers

    What characterizes the pathology of acute mastitis?

    <p>Periductal and interstitial chronic granulomatous inflammatory reaction</p> Signup and view all the answers

    Study Notes

    • Common bacterial species invading breast tissue in acute mastitis include Staphylococcus aureus.
    • Acute mastitis symptoms often include breast tenderness, swelling, and warmth.
    • Acute mastitis typically occurs in lactating women, especially in the early weeks postpartum.
    • Periductal mastitis presents with nipple discharge, pain, and a palpable mass near the nipple.
    • Primary risk factor for periductal mastitis is smoking, which increases susceptibility.
    • A key characteristic of the pathology of acute mastitis features marked inflammatory infiltrates and ductal obstruction.
    • Mammary duct ectasia is identified by dilation of ducts, thickened secretions, and surrounding chronic inflammation.

    Malignancies and Tumors

    • Breast cancer is the most common malignancy in women.
    • Key histological feature of mammary duct ectasia is the presence of dilated ducts filled with thick, sticky secretions.
    • Fibrosis in the breast is characterized by dense collagen deposition and stromal changes.
    • Osteoblastoma involves a well-circumscribed mass of hemorrhagic, gritty tan tissue comprised of woven bone and surrounding osteoblasts.
    • Osteosarcoma predominantly affects adolescents and young adults, typically in the second decade of life.
    • Most common benign bone tumor is an osteochondroma.
    • Chondromas exhibit a gross morphology of well-defined, hard, firm lesions with a translucent appearance.
    • Chondrosarcoma usually affects adults in their 40s and 50s, with peak incidence in middle age.

    Osteoid Osteoma and Osteoblastoma

    • Osteoid osteomas typically present with nocturnal pain relieved by nonsteroidal anti-inflammatory drugs (NSAIDs).
    • Characteristic feature seen in the stroma of osteoblastoma and osteoid osteoma is the presence of prominent vascularity and a dense osteoid matrix.
    • Benign tumors with similar histologic features but differing in size and symptoms are termed "benign bone tumors."
    • Osteosarcomas commonly arise in metaphysis of long bones, notably around the knee.

    General Notes on Bone Neoplasia

    • Genetic alterations, particularly in TP53 and RB1, contribute to the development of many bone tumors.
    • Osteoid osteomas generally occur in younger individuals, most commonly in teenagers.
    • Risk factors for bone neoplasia include prior radiation exposure and certain genetic syndromes.

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    Description

    Test your knowledge of inflammatory disorders, benign epithelial lesions, and tumors related to the breast in the context of pathology. This quiz covers topics such as acute mastitis, making it relevant for students studying the musculoskeletal system and pathology of the breast.

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