Breast Imaging: A Core Review (26 page)

109
 If calcifications that are biopsied are calcium oxalate, how can they be identified by pathology?

A. Use hematoxylin and eosin (H&E) staining on the slides.

B. Do serial thin sections of the specimen.

C. Use polarized light on the slides.

D. Radiograph the paraffin block.

110
 Which of the following statements about the mass depicted in the ultrasound images is correct?

A. Most common breast mass in women under the age of 35 years

B. Demonstrates rim enhancement on contrast-enhanced breast MRI

C. Benign tumor composed of mature adipose cells

D. Has a “breast-within-a-breast” appearance on mammogram

111
 Which of the following statements is correct about the lesion depicted in the images below?

A. Fat and fibroglandular tissue are surrounded by a thin capsule or rim.

B. It never calcifies.

C. It is hard and immobile.

D. Mammography and ultrasound are usually needed to make the diagnosis.

112
 A 62-year-old male presents with a palpable finding without history of trauma. What is the assessment and recommendation?

A. BI-RADS 2. Benign. No further follow-up needed.

B. BI-RADS 2. Benign. Referral to surgeon.

C. BI-RADS 3. Probably benign. Short-term follow-up in 6 months.

D. BI-RADS 4. Suspicious. Biopsy recommended.

113
 Based on the images below, what is the assessment and next appropriate step in management?

A. BI-RADS 2. Benign. Return to annual screening mammography.

B. BI-RADS 3. Probably benign. Short-term follow-up in 6 months.

C. BI-RADS 4A. Low suspicion. Recommend biopsy.

D. BI-RADS 4C Moderate suspicion. Recommend biopsy and scan the ipsilateral axilla.

114
 Match the lymph nodes draining the breast to their location.

115
 Images below represent a mass in the upper outer quadrant of the left breast. This was biopsied. Pathology results are malignant phyllodes.

Which of the following statements concerning malignant phyllodes tumor is correct?

A. About half of all phyllodes tumors are malignant.

B. Most common sites for metastases are axillary lymph nodes.

C. There are no hereditary factors associated with these tumors.

D. Treatment of choice is neoadjuvant chemotherapy.

116
 Which of the following statements concerning invasive lobular carcinoma (ILC) is correct?

A. Grows as single-file linear columns of tumor cells with intervening stroma.

B. It comprises sixty to seventy percent of all invasive breast cancers.

C. Microscopically, proliferating epithelium is present in villous-like projections.

D. Slow growing with as 95% to 98% 5-year survival.

117
 Which of the following statements about the lesion seen on the MRI is correct?

A. Most commonly seen in young women

B. Occurs as a result of hormone replacement therapy

C. Uniformly echogenic on ultrasound

D. Most commonly seen in the upper outer quadrant

118
 Which of the following can be a cause for the finding below?

A. Implant rupture

B. Lymphoma

C. PASH

D. Mastitis

119
 Based on the images from screening mammogram below, what is the appropriate BI-RADS category? The patient has known lymphoma.

A. BI-RADS 0

B. BI-RADS 1

C. BI-RADS 2

D. BI-RADS 3

E. BI-RADS 4

120
 A 43-year-old female presents with new right breast nipple retraction. What is the appropriate next step in the patient’s management?

A. Galactography of the retracted nipple