BEST CASES OF THE AIRP

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BEST CASES OF THE AIRP. January February 2014. Breast Best Case. - PowerPoint PPT Presentation

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  • BEST CASES OF THE AIRP

    January February 2014

  • Breast Best Case

  • 45 yo African American male noticed a lump in his right breast for approximately 6 months. It was occasionally sore and upon squeezing it, there was purulent discharge from his nipple. Patient reports no other pertinent medical or family history.

  • Diagnostic Right Mammogram

  • Intracystic Papillary Carcinoma in a Male PatientScott EmbryUniversity of Tennessee Medical CenterKnoxville, Tennessee

  • Many thanks to all of you for submitting such great cases! Have a safe trip home.

    From the staff of the American Institute for Radiologic Pathology

    *Shows a large lobular high density circumscribed mass corresponding to the palpable finding. *Ultrasound demonstrates a complex cystic and solid mass. The solid portions (yellow arrows) have internal blood flow. *The patient underwent mastectomy. Gross shows the solid masses on the now empty cyst wall.

    Kinetic curve is Type 1, 94% benign*Histology shows a papillary formation (purple) confined to the cyst (blue arrow is cyst wall). Higher magnification demonstrates fibrovascular stalks (pink lines within the purple, blue arrow). *Intracystic papillary carcinoma represents only 1-2% of all breast cancers, but is the most common intracystic carcinoma. This is most common in postmenopausal women and typically presents as a firm well-defined subareolar palpable mass. Approximately 22-34% report nipple discharge at time of presentation. The prognosis is usually very good as there is typically only a small amount of invasive disease that extends outside of the cyst wall. *