Breast ARDMS Pathology Part 1 Exam Questions & Answers

Breast ARDMS Pathology Part 1 Exam Questions & Answers-A 55 year old patient presents for an ultrasound due to bilateral, milky, greenish nipple discharge and mild nipple retraction. Mammography demonstrates rod-like micricalcifications pointing towards the nipple, but no focal masses or other microcalcs. These findings are most suggestive of: A. lobular carcinoma in situ B. mammary ductal ectasia C. intraductal papilloma D. mondor dz - B Which of the following correctly describes usual ductal hyperplasia? A. UDH requires biannual breast MRI eval B. UDH is a benign finding associated with a slight increase in breast cancer risk C. UDH increase risk of breast cancer to 10X the risk of the general population D. UDH requires biannual mammo eval - B Atypical ductal hyperplastia (ADH) is: A. not identified on imaging B. Not a form of breast cancer C. Not a palpable mass D. All of the above - D Whcich type of breast carcinoma does not usually contain microcalcifications that can be seen on mammogram? A. invasive lobular carcinoma B. ductal carcinoma in situ C. invasive ductal carcinoma D. tubular carcinoma - A Which type of breast carcinoma does not usually contain microcalcifications that can be seen on mammogram? A. Invasive lobular carcinoma B. Ductal carcinoma in situ C. invasive ductal carcinoma D. tubular carcinoma - A ILC, Colloid and medullary carcinoma do not usually demonstrate microcalcs on mammo Disruption of the fascial planes of the breast is least likely to occur with which of the following? A. invasive ductal carcinoma B. ductal carcinoma in situ C. invasive lobular carcinoma D. colloid carcinoma - b What is the most common circumscribed malignancy of the breast? A. high grade invasive ductal carcinoma B. tubular carcinoma C. Comedo ductal carcinoma in situ D. non-comedo ductal carcinoma in situ - A Which of the following originates in the stromal tissues of the breast? A. phyllodes tumor B. Acorn cyst C. locular carcinoma in situ D. Invasive lobular carcinoma - A- along with sarcomas A microcalcification is defined as a breast calc that measures_____. A. more than 0.5mm B. more than 0.3mm C. more than 0.7mm D. more than 1 mm - A