Читать книгу Primary Care for COMLEX Level 1 - Dr. Jahan Eftekar - Страница 14

Ductal Papilloma

•Bloody Nipple Discharge

•Unilateral

Lobular Carcinoma

•Pre-menopausal female

•Mostly bilateral

•Multifocal

Ductal Carcinoma

•Unilateral

•Most common malignant

Fibrocystic Disease (Disorder)

•Age 25-50

•Most common breast disorder

•Bilateral pain

•Apocrine metaplasia

•Fibrosis and sclerosing adenosis

•Cysts

•Often benign

•Regression with pregnancy

Fibroadenoma

•20-30 years age

•Intracanalicular and pericanalicular Fibroadenoma

•Increased sensitivity to estrogen

•Benign focal tumor

Other Breast Conditions

•Acute Mastitis ⇔ Staph aureus

•Medullary carcinoma ⇔ Fleshy texture

•Mucinous carcinoma ⇔ Gelatinous texture

•Paget’s ⇔ Poor prognosis, ductal carcinoma, older women, nipples

Ovarian Tumors

•Granulosa tumor ⇔ estrogen

•Arrhenoblastoma ⇔ Sertoli

•Cystadenoma ⇔ Pseudomyxoma

•Dysgerminoma ⇔ Seminoma, radiosensitive

•Krukenberg’s ⇔ Metastatic ovarian; Signet-ring

•Fibroma ⇔ Meig’s syndrome

•Choriocarcinoma ⇔ HCG

•Dermoid Cysts ⇔ Mature teratoma

Infectious (Reproductive) Conditions

•Trichomoniasis ⇔ malodorous vaginitis, “strawberry cervix”

•Candidiasis ⇔ Pruritic white thick discharge, mostly coitus related, HIV positive

•Gardnerella vaginalis ⇔ Clue cells

•Chlamydia ⇔ Asymptomatic PID

•Lymphogranuloma venereum ⇔ Rectal stricture

•Toxic shock syndrome ⇔ Staph aureus tampons.

•Gonorrhea ⇔ N. gonorrhea PID

•Herpes (HSV) ⇔ Multinucleated giant cells

•Granuloma inguinale (Calymmatobacterium granulomatis) ⇔ Donovan bodies

•Syphilis ⇔ condyloma lata, VDRL, FTA-abs, tabes dorsalis

•Chancroids ⇔ Haemophilus ducreyi

Cervical Carcinoma

•Related to HPV types 16 and 18

•Dysplasia

•Squamous cell carcinoma

•Squamo-columnar junction

•Post-coital bleeding

Others

•Vaginal Clear Cell ⇔ DES in utero

•Mucinous cystadenocarcinoma ⇔ Pseudomyxoma peritonei

•Serous Cystadenoma ⇔ Psammoma bodies

•Hydatidiform ⇔ HCG

•Choriocarcinoma ⇔ Lung metastasis